| Teamworks Therapy Llc | |
|
642 N 1000 W Ste 107, Logan, UT 84321-3140 | |
| (435) 753-1556 | |
| (866) 420-3724 |
| Full Name | Teamworks Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 642 N 1000 W Ste 107, Logan, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023155322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 2828354201 (Utah) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | 275801-2401 (Utah) | Secondary |
| Provider Name | Sheridan L Peck |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659427995 PECOS PAC ID: 7315045549 Enrollment ID: I20070612000004 |
| Provider Name | Todd P Campbell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841550522 PECOS PAC ID: 9234389727 Enrollment ID: I20121018000095 |
| Mailing Address | Practice Location Address |
|---|---|
| Teamworks Therapy Llc 642 N 1000 W Ste 107, Logan, UT 84321-3140 Ph: (435) 753-1556 | Teamworks Therapy Llc 642 N 1000 W Ste 107, Logan, UT 84321-3140 Ph: (435) 753-1556 |
Mr. Travis Chamberlain, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 W Center St, Logan, UT 84321 Phone: 435-764-7434 | |
Todd Crae Williams, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 550 E 1400 N, Suite W, Logan, UT 84341 Phone: 435-716-6440 Fax: 435-716-6441 | |
Joy Green, MS,OTR-L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6802 Old Main Hl, Logan, UT 84322 Phone: 435-797-1346 Fax: 844-308-5865 | |
James Greg Blotter, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1300 N 500 E Ste 130, Logan, UT 84341 Phone: 435-716-2880 | |
Kylie Grace Ortiz, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1400 N 500 E, Logan, UT 84341 Phone: 435-716-6440 | |
Braxten Tauiliili, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 765 N 990 E, Logan, UT 84322 Phone: 435-890-6152 |