Elyssia Carmen Primus, PT | |
13937 S Sprague Ln Ste 100, Draper, UT 84020-7864 | |
(385) 308-8034 | |
Not Available |
Full Name | Elyssia Carmen Primus |
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Gender | Female |
Speciality | Physical Therapist |
Location | 13937 S Sprague Ln Ste 100, Draper, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861953606 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 040748-1 (New York) | Primary |
Provider Name | Seneca Cayuga Counties Chapter Nysarc, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1497804215 PECOS PAC ID: 3476653015 Enrollment ID: O20070711000429 |
Provider Name | Limitless Physical Therapy Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1154688281 PECOS PAC ID: 5991967846 Enrollment ID: O20120510000324 |
Mailing Address | Practice Location Address |
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Elyssia Carmen Primus, PT 13937 S Sprague Ln Ste 100, Draper, UT 84020-7864 Ph: (385) 308-8034 | Elyssia Carmen Primus, PT 13937 S Sprague Ln Ste 100, Draper, UT 84020-7864 Ph: (385) 308-8034 |
Thomas J Tardif, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 65 E Wadsworth Park Dr Ste 230, Draper, UT 84020 Phone: 385-308-8034 | |
Mary Elizabeth Vandeven, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13937 S Sprague Ln Ste 100, Draper, UT 84020 Phone: 385-308-8034 | |
Mrs. Jana Whitt, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 65 E Wadsworth Park Dr Ste 320, Draper, UT 84020 Phone: 385-308-8034 | |
Dr. Joseph Guido Dubato, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 65 E Wadsworth Park Dr Ste 230, Draper, UT 84020 Phone: 385-308-8034 | |
Cristina Cerrone, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 74 E 11800 S Ste 200, Draper, UT 84020 Phone: 801-432-2070 | |
Madison Sloss, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13937 S Sprague Ln Ste 100, Draper, UT 84020 Phone: 385-308-8034 | |
Jordan Theresa Mansfield, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 65 E Wadsworth Park Dr Ste 230, Draper, UT 84020 Phone: 385-308-8034 |