| Bear Lake Physical And Sports Therapy Pc | |
|
95 West 50 South, Garden City, UT 84028-0276 | |
| (435) 946-2777 | |
| (435) 946-9777 |
| Full Name | Bear Lake Physical And Sports Therapy Pc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 95 West 50 South, Garden City, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669568481 | NPI | - | NPPES |
| 805197000 | Medicaid | ID | |
| 529198060001 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 3519742401 (Utah) | Primary |
| Provider Name | Kam E Jarman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710073523 PECOS PAC ID: 4183729502 Enrollment ID: I20070809000731 |
| Mailing Address | Practice Location Address |
|---|---|
| Bear Lake Physical And Sports Therapy Pc Po Box 276, Garden City, UT 84028-0276 Ph: (435) 946-2777 | Bear Lake Physical And Sports Therapy Pc 95 West 50 South, Garden City, UT 84028-0276 Ph: (435) 946-2777 |
Dr. Bryce S Woodfield, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 95 West 50 South, Garden City, UT 84028 Phone: 435-946-2777 Fax: 435-946-9777 | |
Kam E Jarman, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 95 West 50 South, Garden City, UT 84028 Phone: 435-946-2777 Fax: 435-946-9777 |