Spencer Shaw, OT | |
984 Medical Dr Ste 3, Brigham City, UT 84302-4712 | |
(435) 239-8104 | |
(435) 239-8415 |
Full Name | Spencer Shaw |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 984 Medical Dr Ste 3, Brigham 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 |
---|---|---|---|
1346068061 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 14185579-4201 (Utah) | Primary |
Provider Name | Orthopaedic And Neurological Rehabilitation Speech Pathology Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1225496540 PECOS PAC ID: 6507159126 Enrollment ID: O20200930001509 |
Mailing Address | Practice Location Address |
---|---|
Spencer Shaw, OT 2481 N 1000 W, Layton, UT 84041-1237 Ph: (801) 726-8528 | Spencer Shaw, OT 984 Medical Dr Ste 3, Brigham City, UT 84302-4712 Ph: (435) 239-8104 |
Jacob Raymond Bryan, MOTR L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 815 S 200 W, Brigham City, UT 84302 Phone: 435-723-5289 Fax: 435-723-0579 | |
Tavin Deru, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 775 N 200 E, Brigham City, UT 84302 Phone: 435-723-7777 | |
Summit Hand Therapy Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1030 Medical Dr Ste B, Brigham City, UT 84302 Phone: 801-866-9766 Fax: 801-773-1553 | |
Jamie Mcintosh, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 984 Medical Dr Ste 3, Brigham City, UT 84302 Phone: 435-239-8104 Fax: 435-239-8415 |