Zane William Evans, PT, DPT | |
94 N Highway 198, Santaquin, UT 84655-8231 | |
(801) 754-5700 | |
Not Available |
Full Name | Zane William Evans |
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Gender | Male |
Speciality | Physical Therapist |
Location | 94 N Highway 198, Santaquin, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467243907 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 14221423-2401 (Utah) | Primary |
Provider Name | Mountain Land Rehabilitation Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1265549372 PECOS PAC ID: 9234048745 Enrollment ID: O20220401002028 |
Mailing Address | Practice Location Address |
---|---|
Zane William Evans, PT, DPT 11808 S West Mountain Rd, Payson, UT 84651-9601 Ph: (801) 362-8353 | Zane William Evans, PT, DPT 94 N Highway 198, Santaquin, UT 84655-8231 Ph: (801) 754-5700 |
Merenci Lynn Osborne, Physical Therapist Medicare: Medicare Enrolled Practice Location: 94 Highland Dr, Santaquin, UT 84655 Phone: 801-754-5700 | |
Bradley D Horrocks, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 340 East Main St, Suite #4, Santaquin, UT 84655 Phone: 801-754-5700 Fax: 801-754-5700 | |
Clayton Sainsbury, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 94 W Main St Ste 1, Santaquin, UT 84655 Phone: 801-754-5700 |