Bradley S Michalko, PT | |
441 S Redwood Rd, Salt Lake City, UT 84104-3539 | |
(801) 975-1403 | |
Not Available |
Full Name | Bradley S Michalko |
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Gender | Male |
Speciality | Physical Therapist |
Location | 441 S Redwood Rd, 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 |
---|---|---|---|
1710544937 | NPI | - | NPPES |
11250165-2401 | Other | UT | UTAH OCCUPATIONAL THERAPIST LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 11250165-2401 (Utah) | Primary |
Provider Name | Pioneer Memorial Physical Therapy |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1760400956 PECOS PAC ID: 5890726988 Enrollment ID: O20050829000636 |
Mailing Address | Practice Location Address |
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Bradley S Michalko, PT Po Box 70689, Salt Lake City, UT 84170-0689 Ph: (801) 987-8602 | Bradley S Michalko, PT 441 S Redwood Rd, Salt Lake City, UT 84104-3539 Ph: (801) 975-1403 |
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 |