MEDICARE: WASATCH ORTHOTICS & PEDORTHICS, LLC

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	335E00000X	Prosthetic/Orthotic Supplier

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	QM0000036359	OTHER		ALTIUS

General Provider Information

NPI Number	:	1164418505
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WASATCH ORTHOTICS & PEDORTHICS, LLC

Provider Business Mailing Address
First Line	:	887 E VINE ST
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84107-6515
Country	:	US
Telephone Number	:	801-293-8777
Fax Number	:	801-293-0231

Provider Business Practice Location Address
First Line	:	887 E VINE ST
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84107-6515
Country	:	US
Telephone Number	:	801-293-8777
Fax Number	:	801-293-0231

Authorized Official
Title or Position	:	DIRECTOR OF REIMBURSEMENT
Name	:	MS. SHERYL S PRICE
Credential	:
Telephone Number	:	503-493-8288

Provider Enumeration Date	:	09/21/2005
Last Update Date	:	08/18/2010

Similar Medicare Providers

1366747495 — PECTUS SERVICES OF UTAH
Practice Location Address:

877 E VINE ST
SALT LAKE CITY, UT
84107-6515

Practice Phone: 877-732-8876
Practice Fax: 973-488-7185

1699776500 — MURRAY CARE CENTER, INC.
Practice Location Address:

835 E VINE ST
MURRAY, UT
84107-6515

Practice Phone: 801-266-3852
Practice Fax: 801-264-1912

1427078666 — DR. GARY ROSQUIST DC,ACCUPUNCTURIST
Practice Location Address:

887 E VINE ST
MURRAY, UT
84107-6515

Practice Phone: 801-266-1415
Practice Fax:

1285786806 — MURRAY CARE CENTER
Practice Location Address:

835 E VINE ST
MURRAY, UT
84107-6515

Practice Phone: 801-266-3852
Practice Fax: 801-264-1912

1144405036 — DIRECT THERAPY SERVICES INC.
Practice Location Address:

835 E VINE ST
MURRAY, UT
84107-6515

Practice Phone: 801-743-1272
Practice Fax:

1710217773 — BEAVER VALLEY HOSPITAL
Practice Location Address:

835 E VINE ST
MURRAY, UT
84107-6515

Practice Phone: 801-693-3800
Practice Fax: 801-264-1912

Directions to “WASATCH ORTHOTICS & PEDORTHICS, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.