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Individual

CLAYTON LLOYD TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.T.

Contact information

Practice address
590 E 100 N, PRICE, UT 84501-2640
(435) 613-1500
Mailing address
740 S 500 W, PRICE, UT 84501-4320
(435) 650-9903

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5628646-2401
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
621762357028
UT
Enumeration date
11/06/2007
Last updated
11/06/2007
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