| Excelserv Pllc | |
|
340 Snow Canyon Dr, # 15, Ivins, UT 84738-6495 | |
| (435) 817-8100 | |
| Not Available |
| Full Name | Excelserv Pllc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 340 Snow Canyon Dr, Ivins, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104133180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5062 (Arizona) | Secondary |
| 225100000X | Physical Therapist | 1744 (Nevada) | Secondary |
| 225100000X | Physical Therapist | 372070-2401 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Excelserv Pllc 340 Snow Canyon Dr, # 15, Ivins, UT 84738-6495 Ph: (435) 817-8100 | Excelserv Pllc 340 Snow Canyon Dr, # 15, Ivins, UT 84738-6495 Ph: (435) 817-8100 |
Kaitlin Webster, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 272 E Center St Ste 103, Ivins, UT 84738 Phone: 435-674-2115 | |
Adam Boyd Webb, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 272 E Center St, Suite 103, Ivins, UT 84738 Phone: 435-674-2115 Fax: 435-673-7711 |