| Dr Tyson Kenton Banner, DPT | |
|
1490 E Foremaster Dr Ste 110, St George, UT 84790-4492 | |
| (435) 288-2242 | |
| Not Available |
| Full Name | Dr Tyson Kenton Banner |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1490 E Foremaster Dr Ste 110, St George, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366212177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 13744522-2401 (Utah) | Primary |
| Provider Name | Elevate Physical Therapy Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1134704083 PECOS PAC ID: 5496152548 Enrollment ID: O20210916001662 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tyson Kenton Banner, DPT 410 Sugar Leo Rd, Saint George, UT 84790-7947 Ph: (801) 603-6751 | Dr Tyson Kenton Banner, DPT 1490 E Foremaster Dr Ste 110, St George, UT 84790-4492 Ph: (435) 288-2242 |
Jed Hurst, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 652 S Medical Center Drive #ll-10, St George, UT 84790 Phone: 435-251-2250 Fax: 435-251-2255 | |
Michael Locke Ettinger, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1380 E Medical Center Dr, St George, UT 84790 Phone: 435-251-1000 Fax: 435-688-4002 | |
Southwest Neurological Rehabilitation Center Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 N 200 E, 3e, St George, UT 84770 Phone: 435-628-5194 | |
Kirk L Terry, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 736 South 900 East, St George, UT 84790 Phone: 435-673-2781 Fax: 435-652-8555 | |
Trevor W Pettingill, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 555 S Bluff St Ste 102, St George, UT 84770 Phone: 435-215-1866 Fax: 435-215-1844 | |
Matthew Oakden, Physical Therapist Medicare: Medicare Enrolled Practice Location: 652 S Medical Center Dr Lowr Level, St George, UT 84790 Phone: 435-251-2250 Fax: 435-251-2255 | |
Mr. Stephen Jason Tomlinson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1424 E Foremaster Dr Ste 120, St George, UT 84790 Phone: 435-656-8800 Fax: 435-627-1809 |