Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cannon Therapeutic

Organization Clinical Social Worker · NPI 1497624951

Cannon Therapeutic is a Clinical Social Worker in Midway, Utah. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

125 W Main St Unit 324
Midway, UT 84049-8014
Phone: (949) 244-9982
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1497624951
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tucker Cannon — Owner, Provider · (949) 244-9982
NPI enumeratedNovember 3, 2025
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025
Mailing address125 W Main St Unit 324, Midway, UT 84049-8014

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