| Rocky Mountain University Of Health Professions Foundation | |
|
122 E 1700 S Bldg 3 Provo UT 84606-5644 | |
| (801) 915-5281 | |
| Not Available |
| Full Name | Rocky Mountain University Of Health Professions Foundation |
|---|---|
| Speciality | Physical Therapist |
| Location | 122 E 1700 S Bldg 3, Provo, Utah |
| Authorized Official Name and Position | Jeffrey Bate (TREASURER) |
| Authorized Official Contact | 8019155281 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rocky Mountain University Of Health Professions Foundation 1800 Novell Pl Provo UT 84606-6171 Ph: () - | Rocky Mountain University Of Health Professions Foundation 122 E 1700 S Bldg 3 Provo UT 84606-5644 Ph: (801) 915-5281 |
| NPI Number | 1053174417 |
|---|---|
| Provider Enumeration Date | 01/30/2024 |
| Last Update Date | 03/18/2024 |
| Certification Date | 03/18/2024 |
| Medicare PECOS PAC ID | 7810439130 |
|---|---|
| Medicare Enrollment ID | O20240603000185 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053174417 | NPI | - | NPPES |
| Provider Name | Spencer D Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487747408 PECOS PAC ID: 1254365034 Enrollment ID: I20050922001063 |
| Provider Name | Jacob Michael Robison |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780970582 PECOS PAC ID: 6608044888 Enrollment ID: I20110713000488 |
| Provider Name | Court R Wilkins |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780679613 PECOS PAC ID: 8729200787 Enrollment ID: I20141107000969 |
| Provider Name | Hina Garg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255756789 PECOS PAC ID: 3577882919 Enrollment ID: I20150506000670 |
| Provider Name | James Michael Leigh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770887762 PECOS PAC ID: 2769666353 Enrollment ID: I20170609001512 |
| Provider Name | Robert Kimball Roden |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407337280 PECOS PAC ID: 7416281621 Enrollment ID: I20190621001679 |
| Provider Name | Adam L Hickenbotham |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063462778 PECOS PAC ID: 3577576115 Enrollment ID: I20220926002120 |
| Provider Name | Zanna Kruoch |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629208038 PECOS PAC ID: 0547314619 Enrollment ID: I20230324002263 |
| Provider Name | Matthew Orgill |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073091294 PECOS PAC ID: 1951757756 Enrollment ID: I20231031001912 |
| Provider Name | Brandon J Wilde |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710140447 PECOS PAC ID: 8527500842 Enrollment ID: I20240603000249 |
| Provider Name | Crystal Miskin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396258133 PECOS PAC ID: 7810250941 Enrollment ID: I20240606002378 |
| Provider Name | Ross Stephen White |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770996472 PECOS PAC ID: 8426590290 Enrollment ID: I20240607001696 |
| Provider Name | Tyler Luszeck |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578958179 PECOS PAC ID: 7012459761 Enrollment ID: I20240610000974 |
| Provider Name | William Reid Cluff |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922536085 PECOS PAC ID: 2466722277 Enrollment ID: I20240625004309 |
| Provider Name | Kasey Butler |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1285476093 PECOS PAC ID: 2062956261 Enrollment ID: I20240628001546 |
| Provider Name | Christa Young |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275747222 PECOS PAC ID: 4385819739 Enrollment ID: I20240816003349 |
| Provider Name | Angelica Echiverri |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356032205 PECOS PAC ID: 8022479849 Enrollment ID: I20241024001898 |
| Provider Name | Daniel William Brown |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1003276395 PECOS PAC ID: 8426582719 Enrollment ID: I20241108002035 |
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