NPI 1013766690

Paul Clark

Practitioner Recreation Therapist Salt Lake City, UT

Practice location

Address: 451 E Bishop Federal Ln, Salt Lake City, UT 84115-2357
Phone: (801) 487-7557
Mailing address: 9956 S Blossom Dr, Sandy, UT 84092-3614

Registered specialties

Recreation Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X Licence 9129425-4003 (UT)

Other Recreation Therapist providers in Utah →

Registry record

NPI: 1013766690
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 May 2024
Record last updated: 15 May 2024

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.