Provider Demographics
NPI:1730984899
Name:KEMPF, JUSTIN (HEALTH COACH)
Entity type:Individual
Prefix:
First Name:JUSTIN
Middle Name:
Last Name:KEMPF
Suffix:
Gender:M
Credentials:HEALTH COACH
Other - Prefix:
Other - First Name:JUSTIN
Other - Middle Name:
Other - Last Name:KEMPF
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:HEALTH COACH
Mailing Address - Street 1:4912 MEADOW FALLS DR
Mailing Address - Street 2:
Mailing Address - City:FT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76244-2309
Mailing Address - Country:US
Mailing Address - Phone:817-992-8128
Mailing Address - Fax:
Practice Address - Street 1:4912 MEADOW FALLS DR
Practice Address - Street 2:
Practice Address - City:FT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76244-2309
Practice Address - Country:US
Practice Address - Phone:817-992-8128
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty