Mr Andrew L Haskell, OT | |
765 E Market Place Dr, Spanish Fork, UT 84660-1396 | |
(385) 344-5430 | |
Not Available |
Full Name | Mr Andrew L Haskell |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 765 E Market Place Dr, Spanish Fork, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740294867 | NPI | - | NPPES |
50899554201 | Other | UT | UTAH STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 5089955-4201 (Utah) | Primary |
Provider Name | Ihc Health Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1033822085 PECOS PAC ID: 1850209420 Enrollment ID: O20230627000064 |
Mailing Address | Practice Location Address |
---|---|
Mr Andrew L Haskell, OT Po Box 25537, Salt Lake City, UT 84125-0537 Ph: () - | Mr Andrew L Haskell, OT 765 E Market Place Dr, Spanish Fork, UT 84660-1396 Ph: (385) 344-5430 |
Heidi Carter, MOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 727 S Main St, Spanish Fork, UT 84660 Phone: 801-210-9319 | |
Mark Comsa, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 350 S Main St, Spanish Fork, UT 84660 Phone: 801-354-7416 | |
Alyssa Merrill, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1570 N Main St, Spanish Fork, UT 84660 Phone: 801-658-3405 | |
Paul Daybell, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 350 S Main St, Spanish Fork, UT 84660 Phone: 801-354-7416 | |
Robert Larson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 727 S Main St, Spanish Fork, UT 84660 Phone: 801-210-9319 Fax: 801-210-2090 | |
Mackenzie Brown, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1570 N Main St, Spanish Fork, UT 84660 Phone: 801-210-9319 |