Sam Clark

NPI 1891395422 · on the registry since 2020

Practice

Address: 515 S. 700 E
Suite 2a
Salt Lake City, UT 84102
Phone: (801) 935-4171
Fax: (801) 935-4946
Organisation at this address: Austin Med Group Inc
Kensho Kai Wellness, Pllc
Juniper Ridge Therapy Pllc
Engage Physical Therapy & Wellness
Red Willow Counseling And Recovery
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 573

Additional practice sites

515 S. 700 E, Salt Lake City, UT

Registry record

Primary taxonomy: Behavior Technician
106S00000X
Sex: Male
Record last updated: 2020-11-01

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