| Graydon Dan Larsen, MOT, OTR/L | |
|
5284 S Commerce Dr Ste C214, Murray, UT 84107-5568 | |
| (801) 871-5492 | |
| Not Available |
| Full Name | Graydon Dan Larsen |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 5284 S Commerce Dr Ste C214, Murray, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730857285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | 12814739-4201 (Utah) | Primary |
| Provider Name | University Of Utah Behavioral Health Services |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1740688613 PECOS PAC ID: 9537483607 Enrollment ID: O20150120001118 |
| Provider Name | Home Clinix Utah Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1891455895 PECOS PAC ID: 7810376977 Enrollment ID: O20220620001418 |
| Mailing Address | Practice Location Address |
|---|---|
| Graydon Dan Larsen, MOT, OTR/L 859 E Johnson Way Dr, Sandy, UT 84094-6345 Ph: (801) 386-3967 | Graydon Dan Larsen, MOT, OTR/L 5284 S Commerce Dr Ste C214, Murray, UT 84107-5568 Ph: (801) 871-5492 |
Mr. Zachery Ellis, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 5848 S 300 E, Murray, UT 84107 Phone: 801-314-4040 | |
Scott L Nobis, OTR,CHT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 5848 Fashion Blvd, Murray, UT 84107 Phone: 801-269-2500 Fax: 801-269-2690 | |
Lindsey Brown, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5848 S 300 E, Murray, UT 84107 Phone: 385-425-9482 | |
Joshua David Parry, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 5770 S 250 E Ste G50, Murray, UT 84107 Phone: 801-314-5000 | |
Rachel Wisniewski, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 5770 S 250 E Ste G50, Murray, UT 84107 Phone: 801-314-5000 | |
Natashia Rea Cannon, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5121 S Cottonwood St, Murray, UT 84107 Phone: 801-507-7000 | |
Maesha Miller Pickard, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5121 S Cottonwood St, Murray, UT 84107 Phone: 801-507-7000 |