DR. NATHAN RANDALL WALL D.C.
NPI 1578810123
Chiropractor - Pediatric Chiropractor in Draper, UT

Active since August 13, 2012
12197 S DRAPER GATE DR, DRAPER, UT 84020(801) 590-0600(801) 590-0643 Get Directions Write a Review

NPPES record last updated: April 4, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Nathan Randall Wall D.c. NPPES

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

DR. NATHAN RANDALL WALL D.C. (NPI 1578810123) is an individual pediatric chiropractor in Draper, Utah, licensed in Utah (6145802-1202) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1578810123
Entity TypeIndividualMale
Primary Taxonomy111NP0017X
Provider Legal NameDR. NATHAN RANDALL WALLCredential: D.C.
Location Address12197 S DRAPER GATE DRDraper, UT 84020-8078
Mailing Address12197 S. Draper Gate Dr., Ste. 108Silverdale, UT 98383-8301 · (801) 590-0600 · Fax (801) 590-0643
Fax(801) 590-0643
Sole ProprietorNo
Enumeration DateAugust 13, 2012
Last NPPES UpdateApril 4, 2018
NPI 1578810123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractor · Pediatric ChiropractorChiropractic Providers
Taxonomy Code111NP0017X
License Licensed in UT · 6145802-1202
Definition

The Pediatric Chiropractor is a chiropractor with specialized, advanced training and certification in the evaluation, care and management of health and wellness conditions of infancy, childhood and adolescence. This specialist provides primary, comprehensive, therapeutic and preventative chiropractic health care for newborns through adolescents.

12197 S DRAPER GATE DR, Draper, UT 84020

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 Nathan Wall's NPI number?

The NPI number for Nathan Wall is 1578810123. It was assigned to this individual provider in the NPPES registry on August 13, 2012.

Where is Nathan Wall located?

Nathan Wall practices at 12197 S Draper Gate Dr, Draper, UT 84020. The listed phone number is (801) 590-0600.

What is Nathan Wall's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Pediatric Chiropractor, with taxonomy code 111NP0017X.

When was this NPI record last updated?

The NPPES record for Nathan Wall was last updated on April 4, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.