KEVIN WILLIS HALL (NPI# 1790306884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790306884 |
Entity Type | Individual |
Full Name | KEVIN WILLIS HALL |
Credential | PTA |
Practice Address |
1400 N 500 E Logan UT 84341-2455 |
Mailing Address |
1510 W Center St Lewiston UT 84320-1645 |
Practice Telephone | 4357162882 |
Mailing Telephone | 4357708798 |
Enumeration Date | 2020-04-30 |
Last Update Date | 2020-04-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
9037678-2402 | UT | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386154649 | Kevin R Hall | Counselor | 3885 S Decatur Blvd Ste 3010, Las Vegas, NV 89103-6814 | 2017-10-01 |
1467708271 | Kevin Arthur Hall | General Practice | 25 Jefferson Way, Suite 102, Ketchikan, AK 99901-5953 | 2012-07-30 |
1356623938 | Kevin Russell Hall | Pharmacist | 1111 Flotilla Club Dr, Indian Harbour Beach, FL 32937-4212 | 2011-09-09 |
1114232212 | Kevin Farrier Hall | Counselor | 33 Arthur Pl, Red Bank, NJ 07701-1707 | 2010-08-12 |
1700044542 | Kevin Allan Hall | Dentist | 1841 Broad St, Hartford, CT 06114-1780 | 2008-05-29 |
1740359314 | Kevin Hall | Physician Assistant | 660 South Main Street, Florence, AZ 85232 | 2006-11-07 |
1710596168 | Kevin Hall | Student in an Organized Health Care Education/Training Program | 33 W 60th St Fl 4, New York, NY 10023-7905 | 2020-07-30 |
1336652007 | Kevin M Hall | Physical Therapy Assistant | 10000 Columbia Ave, Munster, IN 46321-4041 | 2017-11-15 |
1366996027 | Kevin Hall | Physical Therapist | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2016-08-11 |
1598130122 | Kevin Hall | Massage Therapist | 3301 N Miller Rd, Scottsdale, AZ 85251-6431 | 2015-12-08 |
Street Address |
1400 N 500 E |
City | LOGAN |
State | UT |
Zip Code | 84341-2455 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376540955 | Mark D Anderson | Radiology | 1400 N 500 E, Logan, UT 84341-2455 | 2005-06-28 |
1265094742 | Jacob Sanderson | Emergency Medicine | 1400 N 500 E, Logan, UT 84341-2455 | 2019-07-03 |
1497317523 | Adele Perry Rosenauer | Speech-Language Pathologist | 1400 N 500 E, Logan, UT 84341-2455 | 2019-06-28 |
1174086581 | Ridgeview Pathology LLC | Pathology | 1400 N 500 E, Logan, UT 84341-2455 | 2019-04-11 |
1639659543 | Angelee Hancey | Dietitian, Registered | 1400 N 500 E, Logan, UT 84341-2455 | 2018-08-20 |
1144736372 | Ihc Health Services Inc | Radiology | 1400 N 500 E, Logan, UT 84341-2455 | 2017-12-26 |
1992231534 | Laycee Mozingo | Dietitian, Registered | 1400 N 500 E, Logan, UT 84341-2455 | 2017-05-02 |
1568996072 | Cache Valley Pathology, LLC | Pathology | 1400 N 500 E, Logan, UT 84341-2455 | 2017-04-12 |
1255873352 | Karen Tibbitts Filimoehala | Speech-Language Pathologist | 1400 N 500 E, 1st Floor, Logan, UT 84341-2455 | 2016-11-07 |
1821542127 | Justine Powell | Advanced Practice Midwife | 1400 N 500 E, Logan, UT 84341-2455 | 2016-08-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538701529 | Aubrey Salmond | Registered Nurse | 500 East 1500 N, Logan, UT 84341 | 2019-10-11 |
1043702046 | Eye Pros of Logan LLC | Optometrist | 1475 N Main St Ste 103, Logan, UT 84341 | 2018-06-05 |
1275050452 | Rylie Jeanne Cook | Student in an Organized Health Care Education/Training Program | 11 Aggie Village Apt. J, Logan, UT 84341 | 2017-08-28 |
1093262156 | Jessica Lynn Mcgarry | Social Worker | 1040 N 130 W, Apt 100, Logan, UT 84341 | 2016-09-07 |
1740663566 | Paul R Gregory | Occupational Therapy Assistant | 1300 N 500 E Suite 120, Suite 120, Logan, UT 84341 | 2015-06-30 |
1851708846 | Bradley Budge | Optometrist | 535 E 1400 N Ste 130, Logan, UT 84341 | 2014-07-22 |
1386058709 | Daniel Raymond Carlson | Physician Assistant | 500 E. 1400 N., Logan, UT 84341 | 2014-06-13 |
1902220239 | Work Injury Solutions Inc. | Clinic/Center | 630 E 1400 N Ste 140, Logan, UT 84341 | 2014-02-06 |
1750627287 | Lee Martin Williams Sr. | Counselor | 186 E. 1800 N., North Logan, UT 84341 | 2013-01-03 |
1669747804 | Ronald J Payne | Internal Medicine | 1726 North 1850 East, North Logan, UT 84341 | 2012-03-21 |
Find all providers in zip 84341 |
Taxonomy Code | 2081S0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
Specialization | Sports Medicine |
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396393393 | Camille Elizabeth Crockett | Physical Medicine & Rehabilitation | 1130 Smith Fieldhouse, Provo, UT 84602-2246 | 2019-09-03 |
1215493838 | Nikole Decker Squires | Physical Medicine & Rehabilitation | 6748 W 9500 N, Highland, UT 84003-3455 | 2019-02-19 |
1821513755 | Sarah Huppi | Physical Medicine & Rehabilitation | 1130 Sfh, Provo, UT 84602 | 2017-08-11 |
1427572627 | Mackenzie Booth | Physical Medicine & Rehabilitation | 1120 Sfh, Brigham Young University, Provo, UT 84602 | 2017-07-29 |
1497026330 | Earl Warren Stadler Jr. | Physical Medicine & Rehabilitation | 1500 Three Kings Drive Unit 31, Park City, UT 84060 | 2012-01-24 |
1033240965 | Ihc Health Services, Inc | Physical Medicine & Rehabilitation | 4401 Harrison Blvd Ste 2440, Ogden, UT 84403-3195 | 2007-03-09 |
1295881811 | Michelle Pepper | Physical Medicine & Rehabilitation | 24 S 1100 E Ste 101, Salt Lake City, UT 84102-1562 | 2007-01-26 |
1053887067 | Chase K Hansen | Physical Medicine & Rehabilitation | 1121 E Brickyard Rd Apt 1803, Salt Lake City, UT 84106-2531 | 2018-10-17 |
1689184053 | Miranda Greer | Physical Medicine & Rehabilitation | 1141 Sfh, Provo, UT 84602-2246 | 2017-10-11 |
1770905705 | Emere Utah, LLC | Physical Medicine & Rehabilitation | 5296 S Commerce Dr, Suite 104, Murray, UT 84107-4767 | 2014-01-10 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.