| Mcclean Chiropractic Clinic, Llc | |
|
385 N 500 W, Provo, UT 84601-2681 | |
| (801) 373-1035 | |
| (801) 373-1038 |
| Full Name | Mcclean Chiropractic Clinic, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 385 N 500 W, Provo, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073542999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 6136198-2401 (Utah) | Primary |
| Provider Name | Gordon M Mcclean |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1053408955 PECOS PAC ID: 4385607399 Enrollment ID: I20041111000824 |
| Provider Name | Devin D Mcclean |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1750478657 PECOS PAC ID: 7012970023 Enrollment ID: I20041111000845 |
| Provider Name | Matthew R Mcclean |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1922195817 PECOS PAC ID: 0749243756 Enrollment ID: I20041111000875 |
| Mailing Address | Practice Location Address |
|---|---|
| Mcclean Chiropractic Clinic, Llc 385 N 500 W, Provo, UT 84601-2681 Ph: (801) 373-1035 | Mcclean Chiropractic Clinic, Llc 385 N 500 W, Provo, UT 84601-2681 Ph: (801) 373-1035 |
Rhonda L Metcalf, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-373-7850 | |
Brandon Niel Smith, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 68 N 2830 W, Provo, UT 84601 Phone: 801-310-2207 | |
Ms. Maryjane Ligairi, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-373-7850 | |
Jacie Saltzman, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7850 | |
Monica Maria Alvarez Hinckley, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1157 N 300 W, Provo, UT 84604 Phone: 801-357-1250 Fax: 801-357-1255 | |
Brent R Butler, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1055 N 500 W Ste 122, Provo, UT 84604 Phone: 801-429-0610 Fax: 801-429-0629 |