| Sports Medicine Clinic | |
|
2261 Kiesel Ave., Suite #320, Ogden, UT 84401-1969 | |
| (801) 621-8835 | |
| (801) 528-5357 |
| Full Name | Sports Medicine Clinic |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 2261 Kiesel Ave., Ogden, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013028505 | NPI | - | NPPES |
| Provider Name | Chris H Dahlberg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366553208 PECOS PAC ID: 8022065978 Enrollment ID: I20120521000687 |
| Mailing Address | Practice Location Address |
|---|---|
| Sports Medicine Clinic 2261 Kiesel Ave., Suite #320, Ogden, UT 84401-1969 Ph: (801) 621-8835 | Sports Medicine Clinic 2261 Kiesel Ave., Suite #320, Ogden, UT 84401-1969 Ph: (801) 621-8835 |
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 | |
Melissa Arlene Ita'aehau, 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 | |
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 |