| Avery Nicole Alexander, DPT | |
|
1850 Sidewinder Dr, Park City, UT 84060-7471 | |
| (435) 645-9095 | |
| Not Available |
| Full Name | Avery Nicole Alexander |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1850 Sidewinder Dr, Park City, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043942097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 12844006-2401 (Utah) | Primary |
| 2251X0800X | Physical Therapist - Orthopedic | 12844006-2401 (Utah) | Secondary |
| Provider Name | University Of Utah Adult Services |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683 |
| Mailing Address | Practice Location Address |
|---|---|
| Avery Nicole Alexander, DPT 1963 S 1200 E Apt 310, Salt Lake City, UT 84105-3525 Ph: (435) 659-8209 | Avery Nicole Alexander, DPT 1850 Sidewinder Dr, Park City, UT 84060-7471 Ph: (435) 645-9095 |
Kathleen S Bochnowski, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6030 Market St, Suite 135, Park City, UT 84098 Phone: 435-575-0345 Fax: 435-575-0346 | |
Mrs. Larissa Gizelle Neal, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1640 Redstone Center Dr, 200, Park City, UT 84098 Phone: 888-800-8744 | |
Kristen Prejean, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1640 Redstone Ctr Dr, Park City, UT 84098 Phone: 888-800-8744 | |
Sandra Michele Saluti, M.S.,P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1640 Redstone Center Dr, Park City, UT 84098 Phone: 888-800-8744 | |
Sarah B Vaughan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1640 Redstone Center Dr, Suite 200, Park City, UT 84098 Phone: 866-474-6677 | |
Ms. Kieran Angelica Glenbockie, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1640 Redstone Center Dr, Suite 200, Park City, UT 84098 Phone: 888-800-8744 |