Michaela Kiersch, | |
2617 S 300 E, South Salt Lake, UT 84115-3205 | |
(312) 515-9461 | |
Not Available |
Full Name | Michaela Kiersch |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 2617 S 300 E, South Salt Lake, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316669674 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1710637582 PECOS PAC ID: 2163339722 Enrollment ID: O20220509001782 |
Mailing Address | Practice Location Address |
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Michaela Kiersch, 2617 S 300 E, South Salt Lake, UT 84115-3205 Ph: () - | Michaela Kiersch, 2617 S 300 E, South Salt Lake, UT 84115-3205 Ph: (312) 515-9461 |
Jennifer Lea Davis, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2500 S State St, South Salt Lake, UT 84115 Phone: 385-646-5000 | |
Angela Hansen, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2500 S State St, South Salt Lake, UT 84115 Phone: 385-646-5000 | |
Remick Elise Spencer, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2757 S 300 W Ste F, South Salt Lake, UT 84115 Phone: 864-659-3180 | |
Brittany Denhalter, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2500 S State St, South Salt Lake, UT 84115 Phone: 385-646-5000 | |
Ms. Bonnie Lyn Given, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2500 S State St, South Salt Lake, UT 84115 Phone: 801-989-8679 | |
Mckenzie Stclair, OTR-L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 133 W Canley Vale Ln, South Salt Lake, UT 84115 Phone: 801-995-9270 |