Mackay-Clark, Deanna

Mackay-Clark, Deanna is an individual health care provider with primary practice located at 9301 South Wights Fort Rd Suite 215, West Jordan UT 84088. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Mackay-Clark, Deanna can be contacted via phone (801) 282-2200.

Contact Information

Primary practice address
9301 South Wights Fort Rd Suite 215 West Jordan UT 84088
Phone: (801) 282-2200
Fax: (801) 282-2220
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 1088554201 Utah

Profile Details

NPI number 1851497580
LBN Legal business name Mackay-Clark, Deanna
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851497580 NPPES
Utah MEDICAID L0295

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