Stephen Souvall, | |
5734 W 13400 S, #300, Herriman, UT 84096-6953 | |
(801) 302-7232 | |
Not Available |
Full Name | Stephen Souvall |
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Gender | Male |
Speciality | Physical Therapist |
Location | 5734 W 13400 S, Herriman, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003283607 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT60567578 (Washington) | Primary |
Provider Name | Ret Sunrise Physical Therapy Pllc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1942641147 PECOS PAC ID: 2860628682 Enrollment ID: O20131126000452 |
Mailing Address | Practice Location Address |
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Stephen Souvall, 5734 W 13400 S, #300, Herriman, UT 84096-6953 Ph: () - | Stephen Souvall, 5734 W 13400 S, #300, Herriman, UT 84096-6953 Ph: (801) 302-7232 |
Sean A Miller, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5089 W Herriman Blvd Ste 2b, Herriman, UT 84096 Phone: 480-206-1591 | |
Dr. Brad Robert Pulsipher, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5734 W 13400 S, Suite 300, Herriman, UT 84096 Phone: 801-302-7232 Fax: 801-302-7237 | |
Mrs. Kimberli Lingard Brown, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 13358 S 5600 W, Herriman, UT 84096 Phone: 801-302-7230 Fax: 801-302-7237 | |
Jennifer Lynn Bentley, DPT, OCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 5541 W 13400 S, Herriman, UT 84096 Phone: 801-871-4771 Fax: 801-871-4771 | |
Allison Humbird, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5089 W Herriman Blvd Ste 2b, Herriman, UT 84096 Phone: 801-303-1991 Fax: 801-303-1969 | |
Shaun S Schulz, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13358 S 5600 W, Herriman, UT 84096 Phone: 801-302-7232 Fax: 801-302-7237 |