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

Mr. Willis K Clyde, PT

Individual provider Specialist · NPI 1033293865

Mr. Willis K Clyde, PT is a Physical Therapist in Private Practice in Heber City, Utah. Qualified in 1987, 39 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
39
Licensed in
UT
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

190 N Main St
Heber City, UT 84032-1600
Phone: (435) 654-0804
Fax: (435) 654-3314
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 117343-2401 (UT)

Record details

NPI number1033293865
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedOctober 25, 2006
Last updated in NPPESApril 23, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Heber City