Individual
MR. KEVIN L SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
12197 S DRAPER GATE DR STE B, DRAPER, UT 84020-8078
(801) 523-3415
(801) 523-1843
Mailing address
12197 S DRAPER GATE DR STE B, DRAPER, UT 84020-8078
(801) 523-3415
(801) 523-1843
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9011965924
UT
Other
Enumeration date
01/08/2007
Last updated
08/20/2020
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