IndividualActive
Nathan Wall, D.C.
NPI 1578810123 · Pediatric Chiropractor · Draper, UT
Provider details
- NPI number
- 1578810123
- Entity type
- Individual
- Primary specialty
- Pediatric ChiropractorChiropractic Providers
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- No
- License
- 6145802-1202 (UT)
Specialties & taxonomies
Chiropractic Providers
Practice location
12197 S Draper Gate Dr
Draper, UT 84020-8078
Phone: (801) 590-0600
Fax: (801) 590-0643
Approximate (ZIP-level) locationGet directions
Mailing address
12197 S. Draper Gate Dr.
Silverdale, UT 98383-8301
Registry dates
- Enumerated
- 2012-08-13
- Last updated
- 2018-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.