| Carter Blackham, | |
|
13218 S Weatherford Ln, Herriman, UT 84096-5001 | |
| (435) 669-9191 | |
| Not Available |
| Full Name | Carter Blackham |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 13218 S Weatherford Ln, Herriman, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932521986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 8661479-2401 (Utah) | Primary |
| Provider Name | Utah Luna Care Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1437802246 PECOS PAC ID: 4880089275 Enrollment ID: O20220322001637 |
| Provider Name | Fixit Physio - Physical Therapy And Wellness Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1225804487 PECOS PAC ID: 5294186904 Enrollment ID: O20240108000227 |
| Mailing Address | Practice Location Address |
|---|---|
| Carter Blackham, 13218 S Weatherford Ln, Herriman, UT 84096-5001 Ph: (435) 669-9191 | Carter Blackham, 13218 S Weatherford Ln, Herriman, UT 84096-5001 Ph: (435) 669-9191 |
Stephen Souvall, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5734 W 13400 S, #300, Herriman, UT 84096 Phone: 801-302-7232 | |
Taylor Shepherd, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11962 S Anthem Park Blvd Ste 250, Herriman, UT 84096 Phone: 385-473-6438 Fax: 801-613-2909 | |
Sean A Miller, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5089 W Herriman Blvd Ste 2b, Herriman, UT 84096 Phone: 480-206-1591 | |
Trevor Hillock, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11962 S Anthem Park Blvd Ste 250, Herriman, UT 84096 Phone: 801-981-5171 Fax: 801-613-2909 | |
Mrs. Kimberli Lingard Brown, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13358 S 5600 W, Herriman, UT 84096 Phone: 801-302-7230 Fax: 801-302-7237 | |
Proof Physiotherapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4386 W Monument Peak Dr, Herriman, UT 84096 Phone: 801-450-0008 | |
Elise Shanthani Vadiveloo, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14787 S Academy Pkwy, Herriman, UT 84096 Phone: 385-434-3118 |