Healthcare Provider Details

I. General information

NPI: 1184574998
Provider Name (Legal Business Name): ARROW THERAPY CO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

341 S 190 W
AMERICAN FORK UT
84003-2979
US

IV. Provider business mailing address

341 S 190 W
AMERICAN FORK UT
84003-2979
US

V. Phone/Fax

Practice location:
  • Phone: 385-866-0172
  • Fax:
Mailing address:
  • Phone: 385-866-0172
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: GAVIN MCCLELLAN
Title or Position: OCCUPATIONAL THERAPIST
Credential: OTR/L
Phone: 385-866-0172