Individual
DEREK C OVERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
313309-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107008847101
IHC
UT
01
—
46973
PEHP
UT
01
—
577666
DMBA
UT
01
—
6400177
UHC
UT
01
—
870554446OV1
EMIA
UT
Enumeration date
05/22/2006
Last updated
10/10/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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