| Canyon Sports Therapy Inc | |
|
6069 Highland Dr, Holladay, UT 84121-1375 | |
| (801) 944-1209 | |
| (801) 274-1180 |
| Full Name | Canyon Sports Therapy Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 6069 Highland Dr, Holladay, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083920052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 121600-2401 (Utah) | Primary |
| Provider Name | John W Feig |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245243864 PECOS PAC ID: 8628262979 Enrollment ID: I20101030000117 |
| Provider Name | Daniel J Hansen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033406137 PECOS PAC ID: 7810160413 Enrollment ID: I20111026000678 |
| Provider Name | Andrew Proctor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083384069 PECOS PAC ID: 3971995150 Enrollment ID: I20220428001138 |
| Provider Name | Tessa A Netelbeek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811593627 PECOS PAC ID: 4587065925 Enrollment ID: I20230110002816 |
| Provider Name | Joseph M.l Kelly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942807896 PECOS PAC ID: 4183044027 Enrollment ID: I20240325000436 |
| Mailing Address | Practice Location Address |
|---|---|
| Canyon Sports Therapy Inc Po Box 71403, Salt Lake City, UT 84171-0403 Ph: (801) 944-1209 | Canyon Sports Therapy Inc 6069 Highland Dr, Holladay, UT 84121-1375 Ph: (801) 944-1209 |
Connor Bradley, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4624 S Holladay Blvd Ste 2, Holladay, UT 84117 Phone: 801-277-1028 | |
Nathan Paul Philpott, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4600 Wellington St, Holladay, UT 84117 Phone: 801-815-2045 | |
Steady And Well Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 4600 S Wellington St, Holladay, UT 84117 Phone: 801-815-2045 | |
Jeremy Christopher Mccorristin, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4782 S Holladay Blvd, Holladay, UT 84117 Phone: 801-277-7002 | |
Melissa Jayne Allen, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4624 S Holladay Blvd Ste 2, Holladay, UT 84117 Phone: 801-277-1028 | |
Mvp Sports Science Institute Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1826 Cottonwood Club Dr, Holladay, UT 84117 Phone: 801-244-1292 Fax: 801-273-7474 |