| David Rathofer, LMFT | |
|
389 S 900 E, Salt Lake City, UT 84102-2310 | |
| (385) 282-2651 | |
| (385) 282-2650 |
| Full Name | David Rathofer |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 389 S 900 E, Salt Lake City, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417407479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 5262995-3904 (Utah) | Secondary |
| 106H00000X | Marriage & Family Therapist | 5262995-3902 (Utah) | Primary |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
| Mailing Address | Practice Location Address |
|---|---|
| David Rathofer, LMFT Po Box 27128, Salt Lake City, UT 84127-0128 Ph: () - | David Rathofer, LMFT 389 S 900 E, Salt Lake City, UT 84102-2310 Ph: (385) 282-2651 |
Dr. Robert Bagley, PH.D. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 32 W Winchester St, Suite 101, Salt Lake City, UT 84107 Phone: 801-263-6367 Fax: 801-263-6370 | |
Chelsy Jane Bundy, LAMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5965 S 900 E, Salt Lake City, UT 84121 Phone: 801-263-7100 | |
Shawna Kay Henry, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 124 S 400 E Ste 300, Salt Lake City, UT 84111 Phone: 801-704-5066 | |
Gregory Dalessio Iii, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: Po Box 30995, Salt Lake City, UT 84130 Phone: 800-633-4227 | |
Susan L. Johnson, L.M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2936 Lake Mary Dr, Salt Lake City, UT 84121 Phone: 801-860-9627 Fax: 801-266-4944 | |
Mariah Brockman, LAMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5965 S 900 E, Salt Lake City, UT 84121 Phone: 801-263-7138 | |
Sharon T. Walls, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 150 S 600 E Ste 7c, Salt Lake City, UT 84102 Phone: 307-690-1877 Fax: 801-907-7162 |