Healthcare Provider Details

I. General information

NPI: 1174446504
Provider Name (Legal Business Name): KEVIN CRITCHFIELD DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

887 E 100 N STE 3
PAYSON UT
84651-2387
US

IV. Provider business mailing address

887 E 100 N STE 3
PAYSON UT
84651-2387
US

V. Phone/Fax

Practice location:
  • Phone: 801-369-7298
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number14098869-2401
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: