Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN WILLIS HALL, PTA
ActiveKEVIN WILLIS HALL, PTA is a Sports Medicine (PM&R) healthcare provider located in LOGAN, Utah. NPI 1790306884 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · LOGAN, UT
Registration Details
- NPI Number
- 1790306884
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 30, 2020 (6.2568558223098 yrs)
- Last Updated
- Apr 30, 2020
- License
-
9037678-2402 (UT)
Practice Information
- Address
-
1400 N 500 ELOGAN, UT, 843412455Browse UT providers · Browse ZIP 84341
- Phone
- 4357162882
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.