| Mason Law, PT | |
| 
					482 E Bellevue Way, Draper, UT 84020-7151  | |
| (801) 891-5275 | |
| Not Available | 
| Full Name | Mason Law | 
|---|---|
| Gender | Male | 
| Speciality | Physical Therapist | 
| Location | 482 E Bellevue Way, Draper, Utah | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1679929608 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | 9643852-2401 (Utah) | Primary | 
| Provider Name | Ihc Health Services Inc | 
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice | 
| Provider Identifiers | NPI Number: 1033822085 PECOS PAC ID: 1850209420 Enrollment ID: O20230627000064  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mason Law, PT 482 E Bellevue Way, Draper, UT 84020-7151 Ph: (801) 891-5275  | Mason Law, PT 482 E Bellevue Way, Draper, UT 84020-7151 Ph: (801) 891-5275  | 
Thomas J Tardif, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 65 E Wadsworth Park Dr Ste 230, Draper, UT 84020 Phone: 385-308-8034  | |
Mary Elizabeth Vandeven, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13937 S Sprague Ln Ste 100, Draper, UT 84020 Phone: 385-308-8034  | |
Mrs. Jana Whitt, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 65 E Wadsworth Park Dr Ste 320, Draper, UT 84020 Phone: 385-308-8034  | |
Cristina Cerrone, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 74 E 11800 S Ste 200, Draper, UT 84020 Phone: 801-432-2070  | |
Madison Sloss, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13937 S Sprague Ln Ste 100, Draper, UT 84020 Phone: 385-308-8034  | |
Jordan Theresa Mansfield, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 65 E Wadsworth Park Dr Ste 230, Draper, UT 84020 Phone: 385-308-8034  | |
Justin Guillot,  Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 65 E Wadsworth Park Dr Ste 230, Draper, UT 84020 Phone: 385-308-8034 Fax: 385-308-8034  |