Provider Demographics
NPI:1730241399
Name:EMPEY, WILLIAM BLAIN (PT, ATC, EMT)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:BLAIN
Last Name:EMPEY
Suffix:
Gender:M
Credentials:PT, ATC, EMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1135 SMITH FIELDHOUSE
Mailing Address - Street 2:
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84602-0002
Mailing Address - Country:US
Mailing Address - Phone:801-422-8780
Mailing Address - Fax:801-422-0038
Practice Address - Street 1:1135 SMITH FIELDHOUSE
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84602-0002
Practice Address - Country:US
Practice Address - Phone:801-422-8780
Practice Address - Fax:801-422-0038
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT037407146N00000X
UT94-273535-2401225100000X
UT273535-48102255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Not Answered2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer