Korryn Wiese, PT, CMPT | |
5856 Harrison Blvd, Suite A, South Ogden, UT 84403-4397 | |
(801) 475-6415 | |
(801) 475-6417 |
Full Name | Korryn Wiese |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 36 Years |
Location | 5856 Harrison Blvd, South Ogden, 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 |
---|---|---|---|
1528036878 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 117905-2401 (Utah) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Body Tune Physical Therapy Pc | 5092723817 | 4 |
Provider Name | Body Tune Physical Therapy Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1952522419 PECOS PAC ID: 5092723817 Enrollment ID: O20060404000851 |
Mailing Address | Practice Location Address |
---|---|
Korryn Wiese, PT, CMPT 5856 Harrison Blvd, Suite A, South Ogden, UT 84403-4397 Ph: (801) 475-6415 | Korryn Wiese, PT, CMPT 5856 Harrison Blvd, Suite A, South Ogden, UT 84403-4397 Ph: (801) 475-6415 |
Mr. Stephen Reese Spencer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5734 S 1475 E, #300, South Ogden, UT 84403 Phone: 801-475-7628 Fax: 801-475-7639 | |
Makina Todd, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5856 Harrison Blvd Ste A, South Ogden, UT 84403 Phone: 801-475-6415 | |
Kaitlyn Owen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1710 E 5600 S, South Ogden, UT 84403 Phone: 801-689-2546 | |
Krace Conner Maw, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5856 Harrison Blvd Ste A, South Ogden, UT 84403 Phone: 801-475-6415 | |
Brent Webb, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1452 E Ridgeline Dr, #51, South Ogden, UT 84405 Phone: 801-479-5777 Fax: 801-479-7005 | |
Jim Felt P.t., Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5734 South 1475 East, #300, South Ogden, UT 84403 Phone: 801-475-7628 Fax: 801-475-7639 | |
Dr. Joshua Adam Hunt, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1221 E 5800 S, South Ogden, UT 84405 Phone: 801-476-2000 |