Kade Erickson, DPT | |
2055 N 1450 E, North Logan, UT 84341-2086 | |
(435) 363-3732 | |
Not Available |
Full Name | Kade Erickson |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 2055 N 1450 E, North Logan, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376082115 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 10177153-2401 (Utah) | Primary |
Provider Name | Aspire Therapy, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1366901704 PECOS PAC ID: 6002146784 Enrollment ID: O20190923002183 |
Mailing Address | Practice Location Address |
---|---|
Kade Erickson, DPT 1492 W Antelope Dr, Ste 100, Layton, UT 84041-1139 Ph: (801) 825-8091 | Kade Erickson, DPT 2055 N 1450 E, North Logan, UT 84341-2086 Ph: (435) 363-3732 |
Charles R Acevedo, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2310 N 400 E, Ste C, North Logan, UT 84341 Phone: 435-752-5200 Fax: 435-752-5228 | |
Mr. Michael Craig Mumford, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1805 E 1730 N, North Logan, UT 84341 Phone: 435-752-3544 | |
Wesley Hyde, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2310 N 400 E Ste B, North Logan, UT 84341 Phone: 435-760-0915 | |
Aspire Therapy, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 2055 N 1450 E, North Logan, UT 84341 Phone: 435-363-3732 Fax: 888-668-5207 | |
Aegis Group Practice Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2351 N 400 E, North Logan, UT 84341 Phone: 479-201-6091 | |
Jason M Christiansen, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2310 N 400 E, Ste C, North Logan, UT 84341 Phone: 435-752-5200 Fax: 435-752-5228 |