| Kade Ward, DPT | |
|
267 N Spring Creek Pkwy, Providence, UT 84332-9775 | |
| (435) 792-9400 | |
| Not Available |
| Full Name | Kade Ward |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 267 N Spring Creek Pkwy, Providence, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942957261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 12699079-2401 (Utah) | Primary |
| Provider Name | Sunshine Terrace Foundation, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1306000856 PECOS PAC ID: 2668415860 Enrollment ID: O20081003000350 |
| Provider Name | Springcreek Medical Center PC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1093075756 PECOS PAC ID: 1153587233 Enrollment ID: O20120717000459 |
| Mailing Address | Practice Location Address |
|---|---|
| Kade Ward, DPT Po Box 213, Almo, ID 83312-0213 Ph: (435) 881-9327 | Kade Ward, DPT 267 N Spring Creek Pkwy, Providence, UT 84332-9775 Ph: (435) 792-9400 |
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