MEDICARE: DYNATRONICS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BC3200X	Customized Equipment (DME)

General Provider Information

NPI Number	:	1598928541
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DYNATRONICS

Provider Business Mailing Address
First Line	:	7030 PARK CENTRE DR
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84121-6618
Country	:	US
Telephone Number	:	800-874-6251
Fax Number	:	801-568-7711

Provider Business Practice Location Address
First Line	:	7030 PARK CENTRE DR
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84121-6618
Country	:	US
Telephone Number	:	800-874-6251
Fax Number	:	801-568-7711

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. KELVYN CULLIMORE JR.
Credential	:
Telephone Number	:	800-874-6251

Provider Enumeration Date	:	07/09/2008
Last Update Date	:	07/09/2008

Similar Medicare Providers

1851585194 — DYNATRONICS CORPORATION
Practice Location Address:

7030 PARK CENTRE DR
SALT LAKE CITY, UT
84121-6618

Practice Phone: 800-874-6251
Practice Fax: 801-568-7711

1942204797 — DR. MCHUGH AND ASSOCIATES, P.C.
Practice Location Address:

777 ECHO LAKE RD UNIT F
WATERTOWN, CT
06795-6618

Practice Phone: 860-274-1773
Practice Fax: 860-945-6820

1982608667 — DR. JOHN M MCHUGH D.P.M.
Practice Location Address:

777 ECHO LAKE RD UNIT F
WATERTOWN, CT
06795-6618

Practice Phone: 860-274-1773
Practice Fax: 860-945-6820

1598769234 — DR. MCHUGH AND ASSOCIATES, P.C.
Practice Location Address:

777 ECHO LAKE RD UNIT F
WATERTOWN, CT
06795-6618

Practice Phone: 860-274-1773
Practice Fax: 860-945-6820

1255684049 — RACHEL RENE CAMPBELL LCSW, MSW
Practice Location Address:

2290 10TH AVE N STE 601
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Practice Phone: 561-823-3178
Practice Fax:

1043678071 — DIANNE GAVIRIA PSYD
Practice Location Address:

2290 10TH AVE N STE 601
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Practice Phone: 561-823-3178
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Directions to “DYNATRONICS ” Practice Location

Language	Start Address	Practice Location

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