Individual
MR. WILLIAM CLAYTON WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2155 E PANORAMA WAY, HOLLADAY, UT 84124-2816
(801) 673-2910
Mailing address
2155 E PANORAMA WAY, SALT LAKE CITY, UT 84124-2816
(801) 716-2289
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
49112992401
UT
225100000X
Physical Therapist
4911299-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27-0926842
MEDICARE TAX #
UT
Enumeration date
11/10/2010
Last updated
07/05/2021
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