Stefan Cantwell, DPT | |
5360 S 1900 W Ste B3, Roy, UT 84067-2980 | |
(801) 774-8600 | |
(801) 774-8681 |
Full Name | Stefan Cantwell |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 5360 S 1900 W Ste B3, Roy, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023850112 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 13970066-2401 (Utah) | Primary |
Provider Name | Wasatch Therapy Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780894485 PECOS PAC ID: 3476524760 Enrollment ID: O20040802000797 |
Mailing Address | Practice Location Address |
---|---|
Stefan Cantwell, DPT 5349 Adams Ave Pkwy Ste A, Ogden, UT 84405-4736 Ph: (801) 479-9865 | Stefan Cantwell, DPT 5360 S 1900 W Ste B3, Roy, UT 84067-2980 Ph: (801) 774-8600 |
Wasatch Therapy Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1957 W 5700 S, Roy, UT 84067 Phone: 801-774-8600 Fax: 801-774-8681 | |
Joshua Brown, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5991 S 3500 W, Suite 300, Roy, UT 84067 Phone: 801-985-2700 | |
Mr. Brandon M Hepner, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5991 S 3500 W, Suite 300, Roy, UT 84067 Phone: 801-985-2700 Fax: 801-985-2707 | |
Mrs. Brenda Hogge, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 736 South 2000 West, Suite 1, Roy, UT 84067 Phone: 801-985-2700 Fax: 866-245-8064 | |
Nathan Reber, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1915 W 5950 S, Roy, UT 84067 Phone: 801-387-8240 | |
Alyssa Lyman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3443 W 5600 S, Roy, UT 84067 Phone: 801-829-9249 |