Search › Utah › 225100000X
Russell Clarke, P.T., C.H.T
NPI 1396894267 · on the registry since 2007
Practice
- Address
- 1577 W 7000 S
100
West Jordan, UT 84084 - Phone
- (801) 566-6301
- Fax
- (801) 566-4739
- Clinicians at this address
- 15
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah