Provider Demographics
NPI:1598732497
Name:SEMANS, KEVIN F (ATC)
Entity Type:Individual
Prefix:
First Name:KEVIN
Middle Name:F
Last Name:SEMANS
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:663 S 300 E
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84111-3701
Mailing Address - Country:US
Mailing Address - Phone:801-916-8657
Mailing Address - Fax:
Practice Address - Street 1:82 S 1100 E STE 303
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84102-1891
Practice Address - Country:US
Practice Address - Phone:801-533-2002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-01
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer