Cody Wayne Pearson, DPT | |
250 W 300 N, Roosevelt, UT 84066-2351 | |
(435) 722-6186 | |
Not Available |
Full Name | Cody Wayne Pearson |
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Gender | Male |
Speciality | Physical Therapist |
Location | 250 W 300 N, Roosevelt, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427626076 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 12304520-2401 (Utah) | Primary |
Provider Name | Uintah Basin Medical Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1871556217 PECOS PAC ID: 0244131944 Enrollment ID: O20040226000948 |
Mailing Address | Practice Location Address |
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Cody Wayne Pearson, DPT 250 W 300 N, Roosevelt, UT 84066-2351 Ph: () - | Cody Wayne Pearson, DPT 250 W 300 N, Roosevelt, UT 84066-2351 Ph: (435) 722-6186 |
Shawn W Hawkins, Physical Therapist Medicare: Medicare Enrolled Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-722-6163 Fax: 435-722-9291 | |
Gregory Garner, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 210 W 300 N, Roosevelt, UT 84066 Phone: 435-722-4691 | |
Todd Scholes, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-722-6163 Fax: 435-722-9291 | |
Jordan R Baadsgaard, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-722-4691 Fax: 435-722-9291 | |
Russell L Muir, Physical Therapist Medicare: Medicare Enrolled Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-722-6163 Fax: 435-722-9291 | |
Crispin Dalsing, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-722-6163 Fax: 435-722-9291 |