| Moab Physical Therapy And Rehabilitation Llc | |
|
131 E 100 S, Moab, UT 84532-2641 | |
| (435) 210-1985 | |
| (435) 355-0410 |
| Full Name | Moab Physical Therapy And Rehabilitation Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 131 E 100 S, Moab, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891129821 | NPI | - | NPPES |
| 0 | Other | NO ADDITIONAL NUMBER TO ENTER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 8212548-2401 (Utah) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
| Provider Name | Rhonda Grace Cowern |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720343460 PECOS PAC ID: 4486805280 Enrollment ID: I20131231002001 |
| Provider Name | Stephanie Nicole Head Hayes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902461593 PECOS PAC ID: 0941609317 Enrollment ID: I20210615003379 |
| Mailing Address | Practice Location Address |
|---|---|
| Moab Physical Therapy And Rehabilitation Llc 131 E 100 S, Moab, UT 84532-2641 Ph: (435) 210-1985 | Moab Physical Therapy And Rehabilitation Llc 131 E 100 S, Moab, UT 84532-2641 Ph: (435) 210-1985 |
Kelly Shepherd, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 450 Williams Way, Moab, UT 84532 Phone: 435-259-3600 | |
Matthew Okelberry, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 450 Williams Way, Moab, UT 84532 Phone: 435-259-3600 | |
Brittany Noelle Grant, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 450 Williams Way, Moab, UT 84532 Phone: 435-259-3600 | |
Michelle Ann Burton, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1105 S Highway 191 Ste 1, Moab, UT 84532 Phone: 435-259-1114 Fax: 435-259-1133 | |
Jeremy Francis Branch, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 620 West 400 North, Moab, UT 84532 Phone: 435-259-3600 Fax: 435-259-7718 | |
Mrs. Rhonda Grace Cowern, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 131 E 100 S, Moab, UT 84532 Phone: 435-210-1985 Fax: 435-355-0410 |