Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kendall Humphrey

Individual provider Physical Therapist · NPI 1295306983

Kendall Humphrey is a Physical Therapist in Private Practice in Logan, Utah. Qualified in 2021, 5 years ago. Practices with Back at Work of Utah LLC, a 17-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2021
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Practice location Address checks out

630 E 1400 N Ste 140
Logan, UT 84341-2549
Phone: (435) 213-3850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1295306983
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 5, 2021
Last updated in NPPESJuly 5, 2021
Certification dateJuly 5, 2021
Mailing address1200 Corporate Dr Ste 400, Hoover, AL 35242-5424

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Back At Work Of Utah Llc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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