| Ashley Kreidermacher, PT, DPT | |
|
939 S State Highway 89 Unit 3, Logan, UT 84321-6581 | |
| (435) 216-4343 | |
| Not Available |
| Full Name | Ashley Kreidermacher |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 939 S State Highway 89 Unit 3, Logan, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558109918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 13984751-2401 (Utah) | Primary |
| Provider Name | Back At Work Of Utah Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1902423049 PECOS PAC ID: 9830517341 Enrollment ID: O20200916000070 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Kreidermacher, PT, DPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 238-7217 | Ashley Kreidermacher, PT, DPT 939 S State Highway 89 Unit 3, Logan, UT 84321-6581 Ph: (435) 216-4343 |
Shaun P Dahle, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1400 N 500 E, Logan, UT 84341 Phone: 435-716-1000 | |
Brandon David Greenwood, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1400 N 500 E, Logan, UT 84341 Phone: 435-716-1000 | |
Madison Spainhower, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 209 W 300 N, Logan, UT 84321 Phone: 435-716-8535 | |
Kyle Cameron Johnson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2310 N 400 E Ste B, Logan, UT 84341 Phone: 435-774-8557 | |
Sarah C Sievers, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1400 N 500 E, Logan, UT 84341 Phone: 435-755-3360 | |
Brent Rawlings, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 630 E 1400 N Ste 140, Logan, UT 84341 Phone: 435-213-3850 Fax: 435-213-9576 | |
Thomas L Rees, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2380 N 400 E, Logan, UT 84341 Phone: 435-713-9700 Fax: 435-753-8005 |