KEVIN WILLIS HALL PTA
Individual Provider (NPI-1)
Active
Physical Medicine & Rehabilitation, Sports Medicine
Provider Information
- NPI Number
1790306884- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PTA
- Status
- Active
Contact & Location
- Address
- 1400 N 500 E, LOGAN, UT, 843412455
- Phone
- (435) 716-2882
Specialties & Taxonomies
Physical Medicine & Rehabilitation, Sports Medicine
Primary License: UT #9037678-2402