| 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  |