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Heber Valley Physical Therapy Inc

NPI 1396802617ActiveOrganization· Specialist· Heber City, UT

Specialist in Heber City, Utah, registered in NPPES in January 2007. The authorized official on file is Willis K. Clyde, P.T., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1396802617
StatusActive
Entity typeOrganization
NPI issuedJan 3, 2007
Last updated in NPPESFeb 27, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Specialist Primary174400000X117343-2401UT

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

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Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (UT)

Medicare sources and data years

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