Russell Jack Gatenby, PT | |
1184 E 80 N, American Fork, UT 84003-2906 | |
(801) 756-7777 | |
Not Available |
Full Name | Russell Jack Gatenby |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 34 Years |
Location | 1184 E 80 N, American Fork, 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 |
---|---|---|---|
1134241904 | NPI | - | NPPES |
D0292 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 119421-2401 (Utah) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dry Creek Physical Therapy And Wellness Pllc | 0042228512 | 25 |
Provider Name | Dry Creek Physical Therapy & Wellness Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1124109921 PECOS PAC ID: 0042228512 Enrollment ID: O20060324000080 |
Mailing Address | Practice Location Address |
---|---|
Russell Jack Gatenby, PT 222 N 1020 E, American Fork, UT 84003-2957 Ph: () - | Russell Jack Gatenby, PT 1184 E 80 N, American Fork, UT 84003-2906 Ph: (801) 756-7777 |
Nickolas Arbon, Physical Therapist Medicare: Medicare Enrolled Practice Location: 358 N 1100 E # 4, American Fork, UT 84003 Phone: 385-304-4446 | |
Quintin D Warnick, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 170 N 1100 E, American Fork, UT 84003 Phone: 801-763-3520 | |
Barbara B Moe, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 169 N 1100 E, American Fork, UT 84003 Phone: 801-472-2622 | |
Dr. Peter Franklin Fitts, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 170 N 1100 E, American Fork, UT 84003 Phone: 801-855-3300 | |
Mr. Jesse Adam Craig, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 170 N 1100 E, American Fork, UT 84003 Phone: 801-855-3437 | |
Mr. Derick J Woolf, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 170 N 1100 E, American Fork, UT 84003 Phone: 801-763-3520 |