| Ashlyn Marie Golembeski, PT, DPT | |
| 
					13937 S Sprague Ln Ste 100, Draper, UT 84020-7864  | |
| (385) 308-8034 | |
| Not Available | 
| Full Name | Ashlyn Marie Golembeski | 
|---|---|
| Gender | Female | 
| Speciality | Physical Therapist | 
| Location | 13937 S Sprague Ln Ste 100, Draper, Utah | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1861030413 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary | 
| 225100000X | Physical Therapist | 13996 (Tennessee) | Primary | 
| Provider Name | Legacy Healthcare Services Inc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1306454558 PECOS PAC ID: 2163339722 Enrollment ID: O20200925002518  | 
| Provider Name | Tennessee Luna Care Physical Therapy Llc | 
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice | 
| Provider Identifiers | NPI Number: 1003427725 PECOS PAC ID: 1456740323 Enrollment ID: O20211115001664  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ashlyn Marie Golembeski, PT, DPT 1138 Suggs Pass, Mount Juliet, TN 37122-3039 Ph: (225) 205-3753  | Ashlyn Marie Golembeski, PT, DPT 13937 S Sprague Ln Ste 100, Draper, UT 84020-7864 Ph: (385) 308-8034  | 
Thomas J Tardif, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 65 E Wadsworth Park Dr Ste 230, Draper, UT 84020 Phone: 385-308-8034  | |
Mary Elizabeth Vandeven, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13937 S Sprague Ln Ste 100, Draper, UT 84020 Phone: 385-308-8034  | |
Mrs. Jana Whitt, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 65 E Wadsworth Park Dr Ste 320, Draper, UT 84020 Phone: 385-308-8034  | |
Cristina Cerrone, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 74 E 11800 S Ste 200, Draper, UT 84020 Phone: 801-432-2070  | |
Madison Sloss, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13937 S Sprague Ln Ste 100, Draper, UT 84020 Phone: 385-308-8034  | |
Jordan Theresa Mansfield, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 65 E Wadsworth Park Dr Ste 230, Draper, UT 84020 Phone: 385-308-8034  | |
Justin Guillot,  Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 65 E Wadsworth Park Dr Ste 230, Draper, UT 84020 Phone: 385-308-8034 Fax: 385-308-8034  |