Search › Utah › 1041C0700X
Kevin Theriot, PH.D
NPI 1235229741 · on the registry since 2006 · sole proprietor
Practice
- Address
- 132 S State St
Salt Lake City, UT 84111 - Phone
- (801) 240-2429
- Organisation at this address
- Lds Family Services
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 22
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-02-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah