| Advanced Spinal Rehabilitation Pc | |
|
938 University Park Blvd, Clearfield, UT 84015-6283 | |
| (801) 773-4130 | |
| Not Available |
| Full Name | Advanced Spinal Rehabilitation Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 938 University Park Blvd, Clearfield, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366778201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| Provider Name | Corey D Bowden |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1063639359 PECOS PAC ID: 9032216163 Enrollment ID: I20070523000711 |
| Provider Name | Teresa L Warwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659693505 PECOS PAC ID: 5294863791 Enrollment ID: I20100524000696 |
| Provider Name | Matthew David Clark |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1154787844 PECOS PAC ID: 2163718131 Enrollment ID: I20160831001972 |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Spinal Rehabilitation Pc 938 University Park Blvd, Clearfield, UT 84015-6283 Ph: (801) 773-4130 | Advanced Spinal Rehabilitation Pc 938 University Park Blvd, Clearfield, UT 84015-6283 Ph: (801) 773-4130 |
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