| Body Tune Physical Therapy Pc | |
|
5856 Harrison Blvd Ste A, South Ogden, UT 84403-2117 | |
| (801) 475-6415 | |
| (801) 475-6417 |
| Full Name | Body Tune Physical Therapy Pc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 5856 Harrison Blvd Ste A, South Ogden, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952522419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1179052401 (Utah) | Primary |
| Provider Name | Korryn Wiese |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528036878 PECOS PAC ID: 8729096540 Enrollment ID: I20060405000111 |
| Provider Name | Deven M Bawden |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316019037 PECOS PAC ID: 4688675762 Enrollment ID: I20070117000204 |
| Provider Name | Aja E Merrill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821198540 PECOS PAC ID: 7618048398 Enrollment ID: I20080624000605 |
| Provider Name | Krace Conner Maw |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124510235 PECOS PAC ID: 1355695693 Enrollment ID: I20181126001976 |
| Provider Name | Ashley Tanner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457842817 PECOS PAC ID: 8426397845 Enrollment ID: I20190301002349 |
| Mailing Address | Practice Location Address |
|---|---|
| Body Tune Physical Therapy Pc 5856 Harrison Blvd, Suite A, South Ogden, UT 84403-4397 Ph: (801) 475-6415 | Body Tune Physical Therapy Pc 5856 Harrison Blvd Ste A, South Ogden, UT 84403-2117 Ph: (801) 475-6415 |
Mr. Stephen Reese Spencer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5734 S 1475 E, #300, South Ogden, UT 84403 Phone: 801-475-7628 Fax: 801-475-7639 | |
Benjamin Cabal, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6017 Fashion Point Dr, South Ogden, UT 84403 Phone: 925-621-9099 | |
Makina Todd, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5856 Harrison Blvd Ste A, South Ogden, UT 84403 Phone: 801-475-6415 | |
Kaitlyn Owen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1710 E 5600 S, South Ogden, UT 84403 Phone: 801-689-2546 | |
Krace Conner Maw, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5856 Harrison Blvd Ste A, South Ogden, UT 84403 Phone: 801-475-6415 | |
Brent Webb, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1452 E Ridgeline Dr, #51, South Ogden, UT 84405 Phone: 801-479-5777 Fax: 801-479-7005 | |
Jim Felt P.t., Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5734 South 1475 East, #300, South Ogden, UT 84403 Phone: 801-475-7628 Fax: 801-475-7639 |