| Wikar A Kadhim, OT | |
|
1952 E 7000 S, Salt Lake City, UT 84121-6877 | |
| (801) 495-5279 | |
| (801) 495-5303 |
| Full Name | Wikar A Kadhim |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 1952 E 7000 S, Salt Lake City, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255685525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 12266 (California) | Primary |
| Provider Name | Agave Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1992464523 PECOS PAC ID: 7113319468 Enrollment ID: O20220118000851 |
| Mailing Address | Practice Location Address |
|---|---|
| Wikar A Kadhim, OT Po Box 711185, Salt Lake City, UT 84171-1185 Ph: (801) 942-3311 | Wikar A Kadhim, OT 1952 E 7000 S, Salt Lake City, UT 84121-6877 Ph: (801) 495-5279 |
Adam Porter, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-585-2119 | |
Aloe Otte, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1952 E 7000 S, Salt Lake City, UT 84121 Phone: 801-942-3311 Fax: 801-942-5955 | |
Kyle Fairchild, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 451 E Bishop Federal Ln, Salt Lake City, UT 84115 Phone: 801-487-7557 | |
Mark Powell, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1200 E 3900 S, Salt Lake City, UT 84124 Phone: 801-268-7111 | |
Steven Wayne Newton, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 451 Bishop Federal Lane, Salt Lake City, UT 84115 Phone: 801-493-8903 Fax: 801-468-6843 | |
Jeff Mackay, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1952 E 7000 S, Salt Lake City, UT 84121 Phone: 801-942-3311 Fax: 801-495-5303 | |
Kathryn Roof, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1952 E 7000 S, Salt Lake City, UT 84121 Phone: 801-942-3311 Fax: 801-495-5303 |