| Ashley Moline, | |
|
1157 N 300 W Ste 211, Provo, UT 84604-6124 | |
| (801) 357-1250 | |
| Not Available |
| Full Name | Ashley Moline |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 5 Years |
| Location | 1157 N 300 W Ste 211, Provo, Utah |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336817477 | NPI | - | NPPES |
| 12300968-2401 | Other | UT | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 12300968-2401 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dry Creek Physical Therapy And Wellness Pllc | 0042228512 | 31 |
| Provider Name | Dry Creek Physical Therapy & Wellness PLLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1124109921 PECOS PAC ID: 0042228512 Enrollment ID: O20060324000080 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Moline, Po Box 25537, Salt Lake City, UT 84125-0537 Ph: Not Available | Ashley Moline, 1157 N 300 W Ste 211, Provo, UT 84604-6124 Ph: (801) 357-1250 |
Rhonda L Metcalf, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-373-7850 |
Brandon Niel Smith, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 68 N 2830 W, Provo, UT 84601 Phone: 801-310-2207 |
Ms. Maryjane Ligairi, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-373-7850 |
Jacie Saltzman, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7850 |
Independence Rehab, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 5314 N River Run Dr Ste 140, Provo, UT 84604 Phone: 801-426-4905 Fax: 801-426-4953 |
Mcclean Clinic Physical Therapist Medicare: Medicare Enrolled Practice Location: 385 N 500 W, Provo, UT 84601 Phone: 801-373-1035 Fax: 801-373-1038 |
Brent R Butler, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1055 N 500 W Ste 122, Provo, UT 84604 Phone: 801-429-0610 Fax: 801-429-0629 |