| Ashley Creek Physical Therapy, Inc | |
|
595 North Vernal Ave, Vernal, UT 84078-4819 | |
| (435) 789-0022 | |
| (435) 789-2955 |
| Full Name | Ashley Creek Physical Therapy, Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 595 North Vernal Ave, Vernal, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447422019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 121905-2401 (Utah) | Primary |
| Provider Name | Jerry D Kulland |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194721704 PECOS PAC ID: 6305897885 Enrollment ID: I20050204000646 |
| Provider Name | Michael J Seeley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407117674 PECOS PAC ID: 0840440533 Enrollment ID: I20121015000226 |
| Provider Name | Kolton Wayne Olson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861068660 PECOS PAC ID: 9032510359 Enrollment ID: I20210624000778 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Creek Physical Therapy, Inc 595 N Vernal Ave, Vernal, UT 84078-3701 Ph: (435) 789-0022 | Ashley Creek Physical Therapy, Inc 595 North Vernal Ave, Vernal, UT 84078-4819 Ph: (435) 789-0022 |
Haden Bunderson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 W 100 N, Vernal, UT 84078 Phone: 435-789-6757 | |
Mr. Raymond Nestler, MPT, RD Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1907 East, 1300 South, Vernal, UT 84078 Phone: 435-781-1564 | |
Jerry D. Kulland, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1180 N Vernal Ave, Ste 3, Vernal, UT 84078 Phone: 435-789-0022 | |
Justin R Watkins, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 W 100 N, Vernal, UT 84078 Phone: 435-781-6811 Fax: 435-789-6502 | |
Elite Rehab Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 425 S Vernal Ave, Vernal, UT 84078 Phone: 435-781-1502 Fax: 435-781-1505 | |
Mr. Michael J Seeley, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 595 N Vernal Ave, Vernal, UT 84078 Phone: 435-789-0022 Fax: 435-789-2955 |