Provider Demographics
NPI:1952485625
Name:KERBS, ALAN J (PT)
Entity Type:Individual
Prefix:MR
First Name:ALAN
Middle Name:J
Last Name:KERBS
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 1:1868 N 1200 W STE A
Mailing Address - Street 2:
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84041-1937
Mailing Address - Country:US
Mailing Address - Phone:801-728-4624
Mailing Address - Fax:801-776-3087
Practice Address - Street 1:1868 N 1200 W STE A
Practice Address - Street 2:
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041
Practice Address - Country:US
Practice Address - Phone:801-728-4624
Practice Address - Fax:801-776-3087
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2018-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT274721-2401225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist