Melissa Arlene Ita'aehau, PT | |
5349 S Adams Ave, Suite A, Ogden, UT 84405-4736 | |
(801) 479-9865 | |
(801) 479-5846 |
Full Name | Melissa Arlene Ita'aehau |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 19 Years |
Location | 5349 S Adams Ave, 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 |
---|---|---|---|
1043319528 | NPI | - | NPPES |
870502207001 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5936026-2401 (Utah) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wasatch Therapy Inc | 3476524760 | 7 |
Provider Name | Wasatch Therapy Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780894485 PECOS PAC ID: 3476524760 Enrollment ID: O20040802000797 |
Mailing Address | Practice Location Address |
---|---|
Melissa Arlene Ita'aehau, PT 5349 S Adams Ave, Suite A, Ogden, UT 84405-4736 Ph: (801) 479-9865 | Melissa Arlene Ita'aehau, PT 5349 S Adams Ave, Suite A, Ogden, UT 84405-4736 Ph: (801) 479-9865 |
Ernie Chasias Chavez, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5349 S Adams Ave, Suite A, Ogden, UT 84405 Phone: 801-479-9865 Fax: 801-479-5846 | |
Sports Medicine Clinic Physical Therapist Medicare: Medicare Enrolled Practice Location: 2261 Kiesel Ave., Suite #320, Ogden, UT 84401 Phone: 801-621-8835 Fax: 801-528-5357 | |
Dallen S Wheelwright, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 375 E 5350 S, Ogden, UT 84405 Phone: 801-479-5700 | |
Chariton Arnold Ferrin Iii, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-7615 Fax: 801-387-7667 | |
Scott C Roberts, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4700 Harrison Blvd, Ogden, UT 84403 Phone: 801-475-3870 Fax: 801-475-3876 | |
Carly Noel Adams, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5349 Adams Ave Pkwy, Suite A, Ogden, UT 84405 Phone: 801-479-9865 Fax: 801-479-5846 |