Amelia Wilson, PT,DPT | |
175 N Medical Dr, Salt Lake City, UT 84112-1103 | |
(801) 585-0893 | |
Not Available |
Full Name | Amelia Wilson |
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Gender | Female |
Speciality | Physical Therapist |
Location | 175 N Medical Dr, 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 |
---|---|---|---|
1326407024 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 10526184-2401 (Utah) | Primary |
Provider Name | University Of Utah |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1588656870 PECOS PAC ID: 0749262665 Enrollment ID: O20050629000441 |
Mailing Address | Practice Location Address |
---|---|
Amelia Wilson, PT,DPT 126 E Kelsey Ave, Salt Lake City, UT 84111-4509 Ph: (608) 443-8524 | Amelia Wilson, PT,DPT 175 N Medical Dr, Salt Lake City, UT 84112-1103 Ph: (801) 585-0893 |
Dr. Craig M Crookston, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Mario Capecchi Dr, Ste 4400, Salt Lake City, UT 84112 Phone: 801-662-4951 Fax: 801-662-4931 | |
Joel Dela Cruz Timbol, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1952 E 7000 S Ste 100, Salt Lake City, UT 84121 Phone: 801-942-3311 Fax: 801-942-5955 | |
Eon Jarvis, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1952 E 7000 S, Salt Lake City, UT 84121 Phone: 801-942-3311 Fax: 801-495-5303 | |
Keegan Marie Ryan, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-4980 | |
Elizabeth Neilson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 660 S 200 E Ste 250, Salt Lake City, UT 84111 Phone: 801-359-2256 | |
Eric Glad, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1515 S 1100 E, Salt Lake City, UT 84105 Phone: 801-583-5692 | |
Samantha Dawson Tandy, Dpt, Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 352 S Denver St Ste 310, Salt Lake City, UT 84111 Phone: 574-453-8548 |