PAUL CLARK NPI 1013766690

NPI Information

  • NPI: 1013766690
  • Provider Name: PAUL CLARK
  • Classification: Recreation Therapist - 225800000X
  • Entity Type: Individual
  • Address: 451 E BISHOP FEDERAL LN
    SALT LAKE CITY, UT
    ZIP 84115
  • Phone: (801) 487-7557

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NPI Details

Paul Clark is a recreation therapist in Salt Lake City, UT. The provider is a recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. Paul Clark NPI is 1013766690. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

451 E BISHOP FEDERAL LN
SALT LAKE CITY, UT
ZIP 84115-357
Phone: (801) 487-7557

The enumeration date for this NPI number is 5/15/2024 and was last updated on 5/15/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225800000XRecreation Therapist9129425-4003UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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