| Kyle Allen Shegrud, DPT | |
|
3024 W 300 N, West Point, UT 84015-7258 | |
| (801) 825-7500 | |
| Not Available |
| Full Name | Kyle Allen Shegrud |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 3024 W 300 N, West Point, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750921359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 11576233-2401 (Utah) | Primary |
| Provider Name | Home Clinix Utah LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1891455895 PECOS PAC ID: 7810376977 Enrollment ID: O20220620001418 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Allen Shegrud, DPT 1852 N 300 E, Centerville, UT 84014-1054 Ph: Not Available | Kyle Allen Shegrud, DPT 3024 W 300 N, West Point, UT 84015-7258 Ph: (801) 825-7500 |
Zachary Kernan, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3072 W 300 N, Suite A, West Point, UT 84015 Phone: 801-825-7500 Fax: 801-825-7511 |
Megan Miyawaki, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3024 W 300 N Ste B, West Point, UT 84015 Phone: 801-825-7500 |
Keith Deagostine, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3072 W 300 N, Suite A, West Point, UT 84015 Phone: 914-623-8375 |
Steven Hadley, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3024 W 300 N Ste B, West Point, UT 84015 Phone: 801-825-7500 |