Kevin Willis Hall, PTA

NPI #1790306884 in Logan, Utah

Provider Information

NPI Number
1790306884
Entity Type
Individual
Name
Kevin Willis Hall, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Medicine & Rehabilitation - Sports Medicine
Credential
PTA
Enumeration Date
Apr 30, 2020
Last Updated
Apr 30, 2020

Practice Location

Address
1400 N 500 E
City
Logan
State
Utah
ZIP Code
84341-2455
Phone
(435) 716-2882

Specialties & Taxonomy Codes

Specialty
Physical Medicine & Rehabilitation - Sports MedicineSports Medicine

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