| Dr Jeffery Dale Williams, DPT | |
|
3303 N University Ave, Provo, UT 84604-4438 | |
| (801) 373-7438 | |
| (801) 373-7486 |
| Full Name | Dr Jeffery Dale Williams |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 3303 N University Ave, Provo, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225707599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 12448195-2401 (Utah) | Primary |
| Provider Name | Spine Orthopedic And Sports Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1447275946 PECOS PAC ID: 1850320805 Enrollment ID: O20050810000154 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeffery Dale Williams, DPT 9070 W Cheyenne Ave Ste 100, Las Vegas, NV 89129-8935 Ph: (702) 818-5000 | Dr Jeffery Dale Williams, DPT 3303 N University Ave, Provo, UT 84604-4438 Ph: (801) 373-7438 |
Rhonda L Metcalf, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-373-7850 | |
Brandon Niel Smith, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 68 N 2830 W, Provo, UT 84601 Phone: 801-310-2207 | |
Ms. Maryjane Ligairi, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-373-7850 | |
Jacie Saltzman, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7850 | |
Monica Maria Alvarez Hinckley, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1157 N 300 W, Provo, UT 84604 Phone: 801-357-1250 Fax: 801-357-1255 | |
Mcclean Chiropractic Clinic, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 385 N 500 W, Provo, UT 84601 Phone: 801-373-1035 Fax: 801-373-1038 | |
Brent R Butler, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1055 N 500 W Ste 122, Provo, UT 84604 Phone: 801-429-0610 Fax: 801-429-0629 |