NPI 1033293865
Willis K Clyde, PT
Practice location
- Address
- 190 N Main St, Heber City, UT 84032-1600
- Phone
- (435) 654-0804
- Fax
- (435) 654-3314
- Mailing address
- PO Box 13, Heber City, UT 84032-0013
Registered specialties
Specialist
Primary
Registry record
- NPI
- 1033293865
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 25 Oct 2006
- Record last updated
- 23 Apr 2013
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.