Provider Demographics
NPI:1902900426
Name:HARPER, CHRISTOPHER W (PT, DPT, OCS)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:W
Last Name:HARPER
Suffix:
Gender:M
Credentials:PT, DPT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11760 S 700 E
Mailing Address - Street 2:STE 211
Mailing Address - City:DRAPER
Mailing Address - State:UT
Mailing Address - Zip Code:84020-6605
Mailing Address - Country:US
Mailing Address - Phone:801-456-9800
Mailing Address - Fax:801-456-9899
Practice Address - Street 1:11760 S 700 E
Practice Address - Street 2:SUITE 211
Practice Address - City:DRAPER
Practice Address - State:UT
Practice Address - Zip Code:84020-6604
Practice Address - Country:US
Practice Address - Phone:801-456-9900
Practice Address - Fax:801-456-9899
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2018-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT3354312401225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTD3219Medicaid