Mr Wyatt D Banks, PT | |
660 E Main St Bldg B, Enterprise, UT 84725-0549 | |
(435) 878-2722 | |
(435) 878-2723 |
Full Name | Mr Wyatt D Banks |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 33 Years |
Location | 660 E Main St Bldg B, Enterprise, 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 |
---|---|---|---|
1417000753 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 0652 (Nevada) | Secondary |
225100000X | Physical Therapist | 3082713-2401 (Utah) | Primary |
Provider Name | Truman & Moore Therapy |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1932363082 PECOS PAC ID: 1153498076 Enrollment ID: O20080918000462 |
Mailing Address | Practice Location Address |
---|---|
Mr Wyatt D Banks, PT Po Box 549, Enterprise, UT 84725-0549 Ph: (435) 878-2722 | Mr Wyatt D Banks, PT 660 E Main St Bldg B, Enterprise, UT 84725-0549 Ph: (435) 878-2722 |
Marcus T Burton, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 660 E Main St Suite B, Enterprise, UT 84725 Phone: 775-726-3117 Fax: 775-726-3118 | |
Mr. Lonnie J Truman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 660 E Main St, Suite B, Enterprise, UT 84725 Phone: 435-878-2722 Fax: 775-726-3118 | |
Enterprise Valley Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 660 E Main St, Bldg B, Enterprise, UT 84725 Phone: 435-878-2722 Fax: 435-878-2723 |