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Organization

KEVIN CHURCH PHYSICAL THERAPY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN D CHURCH P.T. (OWNER/DIRECTOR)
(801) 957-1797
Entity
Organization

Contact information

Practice address
5255 S 4015 W, SUITE 205, TAYLORSVILLE, UT 84118-4257
(801) 957-1797
(801) 957-1941
Mailing address
5255 S 4015 W, SUITE 205, TAYLORSVILLE, UT 84118-4257
(801) 957-1797
(801) 957-1941

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
02/23/2011
Last updated
02/23/2011
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