| Premere Rehab Llc | |
|
1216 East 1300 South, Salt Lake City, UT 84105-1949 | |
| (801) 478-8965 | |
| Not Available |
| Full Name | Premere Rehab Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1216 East 1300 South, Salt Lake City, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811278351 | NPI | - | NPPES |
| Provider Name | Elise T Munson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528490257 PECOS PAC ID: 4981002136 Enrollment ID: I20211001002728 |
| Provider Name | Shannon O'connor |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750992558 PECOS PAC ID: 2062810211 Enrollment ID: I20211001002760 |
| Provider Name | Sadie Renee Vandyke |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1790414183 PECOS PAC ID: 6204219686 Enrollment ID: I20220817002766 |
| Mailing Address | Practice Location Address |
|---|---|
| Premere Rehab Llc 25117 Sw Parkway Ave, Suite D, Wilsonville, OR 97070-9697 Ph: (888) 757-3422 | Premere Rehab Llc 1216 East 1300 South, Salt Lake City, UT 84105-1949 Ph: (801) 478-8965 |
Dr. Craig M Crookston, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Mario Capecchi Dr, Ste 4400, Salt Lake City, UT 84112 Phone: 801-662-4951 Fax: 801-662-4931 | |
Joel Dela Cruz Timbol, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1952 E 7000 S Ste 100, Salt Lake City, UT 84121 Phone: 801-942-3311 Fax: 801-942-5955 | |
Eon Jarvis, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1952 E 7000 S, Salt Lake City, UT 84121 Phone: 801-942-3311 Fax: 801-495-5303 | |
Keegan Marie Ryan, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-4980 | |
Elizabeth Neilson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 660 S 200 E Ste 250, Salt Lake City, UT 84111 Phone: 801-359-2256 | |
Eric Glad, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1515 S 1100 E, Salt Lake City, UT 84105 Phone: 801-583-5692 | |
Samantha Dawson Tandy, Dpt, Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 352 S Denver St Ste 310, Salt Lake City, UT 84111 Phone: 574-453-8548 |