| Amv Mountain Land Lc | |
|
355 N Main St, Kanab, UT 84741 | |
| (435) 644-4199 | |
| (435) 644-4141 |
| Full Name | Amv Mountain Land Lc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 355 N Main St, Kanab, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063429793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Amv Mountain Land Lc Po Box 711185, Salt Lake City, UT 84171 Ph: (801) 942-3311 | Amv Mountain Land Lc 355 N Main St, Kanab, UT 84741 Ph: (435) 644-4199 |
Cerra Cyrus, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 355 N Main St, Kanab, UT 84741 Phone: 435-644-4199 | |
Wade Nielson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 355 N Main St, Kanab, UT 84741 Phone: 435-644-4199 Fax: 435-644-8562 | |
Brandon Stubbs, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 355 North Main, Kanab, UT 84741 Phone: 435-644-4199 Fax: 435-644-8562 | |
Chad Cottam, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 355 N Main St, Kanab, UT 84741 Phone: 435-644-4199 | |
Taran Wright, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 355 N Main St, Kanab, UT 84741 Phone: 435-644-4199 |