Individual
ADAM WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
85 E 2000 N, TOOELE, UT 84074-9280
(435) 843-2040
Mailing address
85 E 2000 N, TOOELE, UT 84074-9280
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6033742-2401
UT
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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