| The Clinic-physical Therapy & Human Performance Inc | |
|
955 Chambers St, #g1, Ogden, UT 84403-4595 | |
| (801) 941-2137 | |
| Not Available |
| Full Name | The Clinic-physical Therapy & Human Performance Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 955 Chambers St, 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 |
|---|---|---|---|
| 1801283668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 7963402-2401 (Utah) | Primary |
| Provider Name | Alexander J Bravo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548552300 PECOS PAC ID: 1850569062 Enrollment ID: I20110714000016 |
| Mailing Address | Practice Location Address |
|---|---|
| The Clinic-physical Therapy & Human Performance Inc 2206 Jennifer Dr, Ogden, UT 84403-4983 Ph: (801) 941-2137 | The Clinic-physical Therapy & Human Performance Inc 955 Chambers St, #g1, Ogden, UT 84403-4595 Ph: (801) 941-2137 |
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 | |
Sports Medicine Clinic Physical Therapist Medicare: Medicare Enrolled Practice Location: 2261 Kiesel Ave., Suite #320, Ogden, UT 84401 Phone: 801-621-8835 Fax: 801-528-5357 | |
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 |