Daniel Banta Ethington, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

108638114701 Issued in UT

Practice address

9317 S Tanya Ave
West Jordan, UT 84088-8529

Phone

(801) 244-3384

NPI assigned

Jul 5, 2018

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1851887590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9317 S TANYA AVE",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840888529",
            "telephone_number": "801-244-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9317 S TANYA AVE",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840888529",
            "telephone_number": "801-244-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETHINGTON",
        "first_name": "DANIEL",
        "middle_name": "BANTA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-05",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "UT",
            "license": "108638114701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Arion Erekson III, PHARMD
• Madison Erekson
• Austin Erichsen
• Andrew V Erickson, DMD
• Yesenia Escobar, BSW
• Andie Evans
• April Evans, PHARMD
• Lauren Evans, RN
• Maelyn Evans
• Evergreen Clinic LLC

• Massage Therapist in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Massage Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.