Provider Demographics
NPI:1427309798
Name:MCARTHUR, DERRICK REID (DPT)
Entity type:Individual
Prefix:
First Name:DERRICK
Middle Name:REID
Last Name:MCARTHUR
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2334 S 3585 W
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:UT
Mailing Address - Zip Code:84075-5015
Mailing Address - Country:US
Mailing Address - Phone:801-391-8495
Mailing Address - Fax:
Practice Address - Street 1:3443 W 5600 S STE 130
Practice Address - Street 2:
Practice Address - City:ROY
Practice Address - State:UT
Practice Address - Zip Code:84067-9106
Practice Address - Country:US
Practice Address - Phone:801-773-8008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-27
Last Update Date:2019-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist