# WESTERN SUMMIT REHABILITATION LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699009696
- **Authorized official:** MR. WILLIAM CLAYTON WATSON PT (OWNER)
- **Authorized official phone:** (801) 673-2910

## Contact information

- **Practice address:** 2155 E PANORAMA WAY, SALT LAKE CITY, UT 84124-2816
- **Practice address phone:** (801) 716-2289
- **Practice address fax:** (801) 716-2290
- **Mailing address:** 2155 E PANORAMA WAY, SALT LAKE CITY, UT 84124-2816
- **Mailing address phone:** (801) 716-2289
- **Mailing address fax:** (801) 716-2290

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | UT | Yes |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | UT | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 2012-HHA-91251 | UT | — |

## Other

- **Enumeration date:** 09/23/2009
- **Last updated:** 07/21/2022