NPI 1154852507
Wade Thomson
Practice location
- Address
- 1363 S State St STE 140, Salt Lake City, UT 84115-5540
- Phone
- (801) 493-2100
- Fax
- (801) 493-2103
Authorised official
- Name
- Tracy Wade Thomson
- Title
- Therapist
- Phone
- (801) 493-2100
Registered specialties
Foster Care Agency
Primary
Registry record
- NPI
- 1154852507
- Entity type
- Organization
- NPI issued
- 27 Mar 2017
- Record last updated
- 27 Mar 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.