| Doctor Name: | MR. KEVIN DEE CHURCH |
| NPI Number: | 1376678334 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | 5665 |
| Business Practice Address: | 5255 S 4015 W Suite 205 Taylorsville, UT - 841184257 |
| Business Phone Number: | 8019571797 |
| Business Fax Number: | 8019571941 |
| Mailing Address: | 5255 S 4015 W, Suite 205 TAYLORSVILLE |
| State: | UT |
| Postal Code: | 841184257 |
| Phone Number: | 8019571797 |
| Fax Number: | 8019571941 |
| NPI Enumeration Date: | 02/22/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 5665 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |