| David L Wetzel Llc | |
|
12403 S Doreen Dr, Riverton, UT 84065-4360 | |
| (801) 448-1770 | |
| (801) 877-5356 |
| Full Name | David L Wetzel Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 12403 S Doreen Dr, Riverton, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790212777 | NPI | - | NPPES |
| 1306840129 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 106687-2401 (Utah) | Primary |
| Provider Name | David L Wetzel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306840129 PECOS PAC ID: 2163598947 Enrollment ID: I20080902000105 |
| Provider Name | Bradley Jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528328705 PECOS PAC ID: 4486700937 Enrollment ID: I20190125001067 |
| Provider Name | Kurt V Heusser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174611941 PECOS PAC ID: 5496154254 Enrollment ID: I20210527000565 |
| Provider Name | Kimberly Wiley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609444926 PECOS PAC ID: 6901247469 Enrollment ID: I20240515000659 |
| Provider Name | Lisa Forsyth |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760223937 PECOS PAC ID: 7810432283 Enrollment ID: I20240710000138 |
| Mailing Address | Practice Location Address |
|---|---|
| David L Wetzel Llc 12403 S Doreen Dr, Riverton, UT 84065-4360 Ph: (801) 448-1770 | David L Wetzel Llc 12403 S Doreen Dr, Riverton, UT 84065-4360 Ph: (801) 448-1770 |
Kenna Renee Peters, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5541 W 13400 S, Riverton, UT 84096 Phone: 801-871-4770 | |
Kimberlee A Leduc, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13348 S Market Center Dr # 150, Riverton, UT 84065 Phone: 801-302-8866 Fax: 801-302-8868 | |
Cicely Fabiano, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 13348 S Market Center Dr, Riverton, UT 84065 Phone: 801-302-8866 | |
Jonathan Samuel Egbert, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3741 W 12600 S Ste 200, Riverton, UT 84065 Phone: 012-853-4008 Fax: 801-285-3401 | |
Bradford Scott Bentley Jr., PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3741 W 12600 S, Ste 100, Riverton, UT 84065 Phone: 801-285-3400 | |
Bruce Applegate, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1738 W 12600 S, Riverton, UT 84065 Phone: 801-446-0990 | |
Michael John Mathews, D.P.T Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12391 S 4000 W Ste 210, Riverton, UT 84096 Phone: 801-446-0990 Fax: 801-446-0909 |