| Jordan R Baadsgaard, PT | |
|
250 W 300 N, Roosevelt, UT 84066-2336 | |
| (435) 722-4691 | |
| (435) 722-9291 |
| Full Name | Jordan R Baadsgaard |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 250 W 300 N, Roosevelt, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447443940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 6583192 (Utah) | Primary |
| Provider Name | Aegis Group Practice Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558819508 PECOS PAC ID: 5193036432 Enrollment ID: O20161109000544 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan R Baadsgaard, PT 250 W 300 N, Roosevelt, UT 84066-2336 Ph: (435) 722-4691 | Jordan R Baadsgaard, PT 250 W 300 N, Roosevelt, UT 84066-2336 Ph: (435) 722-4691 |
Shawn W Hawkins, Physical Therapist Medicare: Medicare Enrolled Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-722-6163 Fax: 435-722-9291 | |
Gregory Garner, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 210 W 300 N, Roosevelt, UT 84066 Phone: 435-722-4691 | |
Todd Scholes, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-722-6163 Fax: 435-722-9291 | |
Cody Wayne Pearson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-722-6186 | |
Russell L Muir, Physical Therapist Medicare: Medicare Enrolled Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-722-6163 Fax: 435-722-9291 | |
Crispin Dalsing, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-722-6163 Fax: 435-722-9291 |