Candace Lee Slater, DPT | |
1300 N 500 E, Logan, UT 84341-2408 | |
(435) 760-3623 | |
Not Available |
Full Name | Candace Lee Slater |
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Gender | Female |
Speciality | Physical Therapist |
Location | 1300 N 500 E, 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 |
---|---|---|---|
1649790114 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 8227009-2401 (Utah) | Primary |
Provider Name | Ihc Health Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1033822085 PECOS PAC ID: 1850209420 Enrollment ID: O20230627000064 |
Mailing Address | Practice Location Address |
---|---|
Candace Lee Slater, DPT Po Box 3337, Logan, UT 84323-3337 Ph: (435) 760-3623 | Candace Lee Slater, DPT 1300 N 500 E, Logan, UT 84341-2408 Ph: (435) 760-3623 |
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 |