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

Paul Clark

Individual provider Recreation Therapist · NPI 1013766690

Paul Clark is a Recreation Therapist in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2024.

Licensed in
UT
In the registry since
2024

Practice location Address checks out

451 E Bishop Federal Ln
Salt Lake City, UT 84115-2357
Phone: (801) 487-7557
Show map & directions

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

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X · Licence 9129425-4003 (UT)

Record details

NPI number1013766690
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 15, 2024
Last updated in NPPESMay 15, 2024
Certification dateMay 15, 2024

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