| Spencer Vickery, DPT | |
|
1227 W 9000 S Ste F, West Jordan, UT 84088-9010 | |
| (801) 282-2200 | |
| Not Available |
| Full Name | Spencer Vickery |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1227 W 9000 S Ste F, West Jordan, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881269140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 12294720-2401 (Utah) | Primary |
| Provider Name | Mountain Land Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1265549372 PECOS PAC ID: 9234048745 Enrollment ID: O20220401002028 |
| Mailing Address | Practice Location Address |
|---|---|
| Spencer Vickery, DPT Po Box 711185, Salt Lake City, UT 84171-1185 Ph: () - | Spencer Vickery, DPT 1227 W 9000 S Ste F, West Jordan, UT 84088-9010 Ph: (801) 282-2200 |
Dr. Hailey J Ryle, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1227 W 9000 S Ste F, West Jordan, UT 84088 Phone: 801-282-2200 | |
Brett Pozolinski, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3580 W 9000 S, West Jordan, UT 84088 Phone: 801-561-8888 | |
Rocky Mountain Therapy Services West Jordan Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 8822 S Redwood Rd, Suite E122, West Jordan, UT 84088 Phone: 801-566-7080 Fax: 801-256-1133 | |
Robert Durban, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2655 W 9000 S, West Jordan, UT 84088 Phone: 801-256-6430 Fax: 801-256-6431 | |
Tania M Niclas, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3584 W 9000 S, Jordan Valley Medical Center Physical Therapy Suite 102, West Jordan, UT 84088 Phone: 801-601-2309 | |
Jason Danielson, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1577 W 7000 S, #100, West Jordan, UT 84084 Phone: 801-566-6301 | |
Michael Depola, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1577 W 7000 S, 100, West Jordan, UT 84084 Phone: 801-566-6301 Fax: 801-566-4739 |