| Truman & Moore Therapy | |
|
660 E Main St, Bldg B, Enterprise, UT 84725-0549 | |
| (435) 878-2722 | |
| (435) 878-2723 |
| Full Name | Truman & Moore Therapy |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 660 E Main St, Enterprise, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932363082 | NPI | - | NPPES |
| P00669998 | Other | UT | RAIL ROAD MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 7043969-2401 (Utah) | Primary |
| Provider Name | Wyatt Banks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417000753 PECOS PAC ID: 4183931348 Enrollment ID: I20150921001325 |
| Mailing Address | Practice Location Address |
|---|---|
| Truman & Moore Therapy Po Box 549, Enterprise, UT 84725-0549 Ph: (775) 726-3117 | Truman & Moore Therapy 660 E Main St, Bldg B, Enterprise, UT 84725-0549 Ph: (435) 878-2722 |
Marcus T Burton, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 660 E Main St Suite B, Enterprise, UT 84725 Phone: 775-726-3117 Fax: 775-726-3118 | |
Mr. Wyatt D Banks, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 660 E Main St Bldg B, Enterprise, UT 84725 Phone: 435-878-2722 Fax: 435-878-2723 | |
Mr. Lonnie J Truman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 660 E Main St, Suite B, Enterprise, UT 84725 Phone: 435-878-2722 Fax: 775-726-3118 |