Ian Ward Blatter, PT | |
1055 North 500 West Ste 122, Building C, Provo, UT 84604 | |
(801) 429-0610 | |
(801) 429-0629 |
Full Name | Ian Ward Blatter |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 16 Years |
Location | 1055 North 500 West Ste 122, Building C, Provo, Utah |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801057567 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 6976691-2401 (Utah) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Central Utah Clinic Pc | 7517868508 | 386 |
Provider Name | Central Utah Clinic Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805 |
Mailing Address | Practice Location Address |
---|---|
Ian Ward Blatter, PT 1055 North 500 West Attn: Credentialing, Provo, UT 84604-3305 Ph: (801) 354-8225 | Ian Ward Blatter, PT 1055 North 500 West Ste 122, Building C, Provo, UT 84604 Ph: (801) 429-0610 |
Rhonda L Metcalf, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-373-7850 | |
Brandon Niel Smith, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 68 N 2830 W, Provo, UT 84601 Phone: 801-310-2207 | |
Ms. Maryjane Ligairi, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-373-7850 | |
Jacie Saltzman, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7850 | |
Monica Maria Alvarez Hinckley, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1157 N 300 W, Provo, UT 84604 Phone: 801-357-1250 Fax: 801-357-1255 | |
Independence Rehab, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 5314 River Run Dr, Suite 140, Provo, UT 84604 Phone: 801-494-0486 Fax: 801-494-0533 | |
Bridger Park, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1034 North 500 West, Provo, UT 84604 Phone: 801-357-1250 |