| Russell Jack Gatenby, PT | |
|
1184 E 80 N, American Fork, UT 84003-2906 | |
| (801) 756-7777 | |
| Not Available |
| Full Name | Russell Jack Gatenby |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 35 Years |
| Location | 1184 E 80 N, American Fork, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134241904 | NPI | - | NPPES |
| D0292 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 119421-2401 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dry Creek Physical Therapy And Wellness Pllc | 0042228512 | 28 |
| Provider Name | Dry Creek Physical Therapy & Wellness Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1124109921 PECOS PAC ID: 0042228512 Enrollment ID: O20060324000080 |
| Mailing Address | Practice Location Address |
|---|---|
| Russell Jack Gatenby, PT 222 N 1020 E, American Fork, UT 84003-2957 Ph: () - | Russell Jack Gatenby, PT 1184 E 80 N, American Fork, UT 84003-2906 Ph: (801) 756-7777 |
Nickolas Arbon, Physical Therapist Medicare: Medicare Enrolled Practice Location: 358 N 1100 E # 4, American Fork, UT 84003 Phone: 385-304-4446 | |
Quintin D Warnick, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 170 N 1100 E, American Fork, UT 84003 Phone: 801-763-3520 | |
Barbara B Moe, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 169 N 1100 E, American Fork, UT 84003 Phone: 801-472-2622 | |
Dr. Peter Franklin Fitts, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 170 N 1100 E, American Fork, UT 84003 Phone: 801-855-3300 | |
Mr. Jesse Adam Craig, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 170 N 1100 E, American Fork, UT 84003 Phone: 801-855-3437 | |
Mr. Derick J Woolf, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 170 N 1100 E, American Fork, UT 84003 Phone: 801-763-3520 |