Provider Demographics
NPI:1568790616
Name:KEMPTON, STEVEN E (PT)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:E
Last Name:KEMPTON
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4566 E INVERNESS AVE
Mailing Address - Street 2:STE 103
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-4633
Mailing Address - Country:US
Mailing Address - Phone:480-813-9191
Mailing Address - Fax:480-813-0025
Practice Address - Street 1:5171 CUB LAKE RD
Practice Address - Street 2:SUITE C 360
Practice Address - City:SHOW LOW
Practice Address - State:AZ
Practice Address - Zip Code:85901-7888
Practice Address - Country:US
Practice Address - Phone:928-537-0248
Practice Address - Fax:928-537-0251
Is Sole Proprietor?:No
Enumeration Date:2009-12-01
Last Update Date:2018-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8527PT225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ8527PTOtherPHYSICAL THERAPY LICENSE