Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. WILLIS K CLYDE, P.T.
Active Sole ProprietorMR. WILLIS K CLYDE, P.T. is a Specialist healthcare provider located in HEBER CITY, Utah. NPI 1033293865 is currently active in the NPPES registry. Verify at CMS.
Specialist · HEBER CITY, UT
Registration Details
- NPI Number
- 1033293865
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 25, 2006 (19.659123054208 yrs)
- Last Updated
- Apr 23, 2013
- License
-
117343-2401 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
190 N MAIN STHEBER CITY, UT, 840321600Browse UT providers · Browse ZIP 84032
- Phone
- 4356540804
- Fax
- 4356543314
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in HEBER CITY, UT
| Name | Credential | NPI |
|---|---|---|
| MRS. MELISSA BOOTH | MPT | 1588987549 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.