Martin Lee Anderson, PT | |
169 Springcreek Pkwy, Providence, UT 84332-9707 | |
(435) 755-8500 | |
(435) 755-2836 |
Full Name | Martin Lee Anderson |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 169 Springcreek Pkwy, Providence, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730227778 | NPI | - | NPPES |
364291233000 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2850272401 (Utah) | Primary |
Provider Name | Ihc Health Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1033822085 PECOS PAC ID: 1850209420 Enrollment ID: O20230627000064 |
Mailing Address | Practice Location Address |
---|---|
Martin Lee Anderson, PT 2380 N 400 E, North Logan, UT 84341-1749 Ph: (435) 713-9700 | Martin Lee Anderson, PT 169 Springcreek Pkwy, Providence, UT 84332-9707 Ph: (435) 755-8500 |
Darin Andrew Chase, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 169 N Gateway Dr Ste 160, Providence, UT 84332 Phone: 435-799-3111 Fax: 435-799-3148 | |
Brandon Reed, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 550 W 465 N, Providence, UT 84332 Phone: 435-535-3677 | |
Katelyn Laaksonen, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 550 W 465 N Ste 504, Providence, UT 84332 Phone: 435-535-3677 | |
Hunter Hanks, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 169 N Gateway Dr Ste 160, Providence, UT 84332 Phone: 435-799-3111 | |
Gateway Physical Therapy And Sports Rehab Physical Therapist Medicare: Medicare Enrolled Practice Location: 169 N Gateway Dr Ste 160, Providence, UT 84332 Phone: 435-799-3111 | |
Jonathan Patrick Sprouse, Physical Therapist Medicare: Medicare Enrolled Practice Location: 190 S Highway 165, Providence, UT 84332 Phone: 435-755-3300 | |
Michael Taylor, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 267 N Spring Creek Pkwy, Providence, UT 84332 Phone: 435-792-9400 |