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

Connor Wallace

Individual provider Occupational Therapist · NPI 1245005149

Connor Wallace is an Occupational Therapist in Salt Lake City, Utah. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

85 N Medical Dr
Salt Lake City, UT 84112-1100
Phone: (801) 587-3422
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1245005149
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 20, 2023
Last updated in NPPESMarch 4, 2024
Certification dateMarch 4, 2024

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