Braiden Wilson, DPT | |
980 E 800 N, Orem, UT 84097-4258 | |
(801) 226-0599 | |
Not Available |
Full Name | Braiden Wilson |
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Gender | Male |
Speciality | Physical Therapist |
Location | 980 E 800 N, Orem, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184336109 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 13155243-2401 (Utah) | Primary |
Provider Name | Orem Sports Medicine Center Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1659397313 PECOS PAC ID: 0941105191 Enrollment ID: O20031202000160 |
Mailing Address | Practice Location Address |
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Braiden Wilson, DPT 980 E 800 N, Suite 103, Orem, UT 84097 Ph: (801) 226-0599 | Braiden Wilson, DPT 980 E 800 N, Orem, UT 84097-4258 Ph: (801) 226-0599 |
Mckell Therapy Group, Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 504 E 770 N, Orem, UT 84097 Phone: 801-224-2177 Fax: 801-224-2195 | |
Roger E Pack, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 412 W. 800 N., Orem, UT 84057 Phone: 801-701-6515 | |
Dr. Matthew Framptom Bushnell, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 252 N State St, Orem, UT 84057 Phone: 801-226-0599 Fax: 801-226-3145 | |
Tucker Gamble, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1163 E 1220 N, Orem, UT 84097 Phone: 801-633-8151 | |
Mark Stout Mcomber, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 331 N 400 W, Orem, UT 84057 Phone: 801-224-4080 | |
Kirk W Newbold, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 684 W 800 N, #110, Orem, UT 84057 Phone: 801-224-2250 Fax: 801-224-2655 | |
Mrs. Debra Ann Oborn, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 607 N 1200 W, Orem, UT 84057 Phone: 801-224-4131 Fax: 801-226-3482 |