Physical Therapist
ETHAN GLADE
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1699571406 · enumerated 2025-02-21 · record updated 2025-02-21. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 6360 S 3000 E STE 125, SALT LAKE CITY, UT, 84121-6933 (385) 900-5094 Google Maps Apple Maps OpenStreetMap
- Practice location 6360 S 3000 E STE 125, SALT LAKE CITY, UT, 84121-6933 (385) 900-5094 Google Maps Apple Maps OpenStreetMap
Specialties
- Physical Therapist, Orthopedic 2251X0800X · License 14197015-2401 UT
- Physical Therapist 225100000X · Primary · License 14197015-2401 UT
In this directory
Locations and evidence
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Practice location
SALT LAKE CITY, UT, 841216933
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.