Heidi Olsen Tidwell, PT | |
1551 Renaissance Towne Dr Ste 420, Bountiful, UT 84010-7677 | |
(801) 295-8999 | |
Not Available |
Full Name | Heidi Olsen Tidwell |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 32 Years |
Location | 1551 Renaissance Towne Dr Ste 420, Bountiful, Utah |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669934378 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | 269056-2401 (Utah) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sportsmed Physical Therapy Of Bountiful A Professional Corp | 2668462045 | 4 |
Provider Name | Sportsmed Physical Therapy Of Bountiful A Professional Corp |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1215119870 PECOS PAC ID: 2668462045 Enrollment ID: O20040517000987 |
Mailing Address | Practice Location Address |
---|---|
Heidi Olsen Tidwell, PT 1551 Renaissance Towne Dr Ste 420, Bountiful, UT 84010-7677 Ph: (801) 295-8999 | Heidi Olsen Tidwell, PT 1551 Renaissance Towne Dr Ste 420, Bountiful, UT 84010-7677 Ph: (801) 295-8999 |
Jaren Weber, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 74 E 500 S Ste 104, Bountiful, UT 84010 Phone: 801-292-5011 | |
Mr. Robert Allen Hawkes, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1551 S Renaissance Twn Dr, Suite 420 Sportsmed Physical Therapy, Bountiful, UT 84010 Phone: 801-295-8999 Fax: 801-292-4168 | |
Jessica Elizabeth Sherman, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 280 N Main St, Bountiful, UT 84010 Phone: 801-397-8700 | |
Michael Carl Warren, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 74 E 500 S Ste 104, Bountiful, UT 84010 Phone: 801-292-5011 Fax: 801-292-8222 | |
Jessie Balicki, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 523 N Main St, Bountiful, UT 84010 Phone: 801-951-2273 | |
Mr. Robert J Larsen, MPT ATG Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1551 S Renaissance Twn Dr, Suite 420, Bountiful, UT 84010 Phone: 801-295-8999 Fax: 801-292-4168 | |
Mrs. Stephanie Jackson, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1551 Renaissance Towne Dr Ste 350, Bountiful, UT 84010 Phone: 801-295-3553 Fax: 801-295-3599 |