Whalio Doctors

NPI 1033293865

Willis K Clyde, PT

Practitioner Specialist Heber City, UT

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
Other Service Providers Taxonomy 174400000X Licence 117343-2401 (UT)

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.