MEDICARE: ARROW THERAPY CO. PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	10250403-4201	OTHER	UT	DOPL

General Provider Information

NPI Number	:	1184574998
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARROW THERAPY CO. PLLC

Provider Business Mailing Address
First Line	:	893 N 900 E
Second Line	:
City	:	PLEASANT GROVE
State	:	UT
Zip	:	84062-1904
Country	:	US
Telephone Number	:	801-822-7699
Fax Number	:

Provider Business Practice Location Address
First Line	:	893 N 900 E
Second Line	:
City	:	PLEASANT GROVE
State	:	UT
Zip	:	84062-1904
Country	:	US
Telephone Number	:	801-822-7699
Fax Number	:

Authorized Official
Title or Position	:	OCCUPATIONAL THERAPIST
Name	:	GAVIN MCCLELLAN
Credential	:	OTR/L
Telephone Number	:	801-822-7699

Provider Enumeration Date	:	01/31/2026
Last Update Date	:	01/31/2026

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