DEBRA WILLARDSON ATC
NPI 1467513713
Specialist/Technologist, Other in Salt Lake City, UT

Active since December 12, 2006
1825 E SOUTH CAMPUS DR, ATHLETICS DEPT., SALT LAKE CITY, UT 84112(801) 581-4836(801) 585-5005 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Debra Willardson Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEBRA WILLARDSON ATC (NPI 1467513713) is an individual specialist/technologist, other provider in Salt Lake City, Utah, licensed in Utah (1216584810) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1467513713
Entity TypeIndividualFemale
Primary Taxonomy246Z00000X
Provider Legal NameDEBRA WILLARDSONCredential: ATC
Location Address1825 E SOUTH CAMPUS DR, ATHLETICS DEPT.Salt Lake City, UT 84112-0900
Mailing Address1825 E South Campus Dr, Atheltics Dept.Slc, UT 84112-0900 · (801) 581-4836 · Fax (801) 585-5005
Fax(801) 585-5005
Sole ProprietorNo
Enumeration DateDecember 12, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1467513713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246Z00000X
License Licensed in UT · 1216584810
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
1825 E SOUTH CAMPUS DR, Salt Lake City, UT 84112

Other Identifiers 1

Other2255A2300XUT · Athletic Trainer

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
1825 E SOUTH CAMPUS DR
SLC, UT 84112
Specialist/Technologist (Athletic Trainer)
1825 E SOUTH CAMPUS DR
SALT LAKE CITY, UT 84112

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Debra Willardson's NPI number?

The NPI number for Debra Willardson is 1467513713. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Debra Willardson located?

Debra Willardson practices at 1825 E South Campus Dr Athletics Dept., Salt Lake City, UT 84112. The listed phone number is (801) 581-4836.

What is Debra Willardson's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other with taxonomy code 246Z00000X.

When was this NPI record last updated?

The NPPES record for Debra Willardson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.