Nathan Randall Wall, D.C.
Pediatric Chiropractor · Draper, UT
Practice location
12197 S Draper Gate DrDraper, UT 84020-8078
- Phone
- (801) 590-0600
- Fax
- (801) 590-0643
NPI record
- NPI
- 1578810123
- Entity type
- Individual (Type 1)
- Enumeration date
- August 13, 2012
- Last updated
- April 4, 2018
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatric Chiropractor Primary | 111NP0017X |
6145802-1202 | UT |
Mailing address
12197 S. Draper Gate Dr.Ste. 108
Silverdale, UT 98383-8301
- Phone
- (801) 590-0600
- Fax
- (801) 590-0643
About Dr. Wall
Nathan Randall Wall, D.C. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Chiropractor (code 111NP0017X). The practice location is 12197 S Draper Gate Dr, Draper, UT 84020-8078. The NPI number 1578810123 was assigned on August 13, 2012 and the record was last updated on April 4, 2018.
Dr. Wall lists a license in the registry: #6145802-1202 (UT) for Pediatric Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Nathan Randall Wall, D.C.?
The NPI number is 1578810123.
What is the phone number of Dr. Wall?
The phone number listed for the practice location is (801) 590-0600.
Where is Dr. Wall located?
12197 S Draper Gate Dr, Draper, UT 84020-8078.
What is the taxonomy code for Dr. Wall?
The primary taxonomy code is 111NP0017X – Pediatric Chiropractor.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.