Individual
MR. KEVIN DEE CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
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
225100000X
Physical Therapist
Primary
119835-2401
UT
225100000X
Physical Therapist
5665
AZ
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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