MEDICARE: ALICIA VIGIL-RYAN SPT

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	235Z00000X	Speech-Language Pathologist	7766767-4102	UT

General Provider Information

NPI Number	:	1356411953
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICIA VIGIL-RYAN SPT

Provider Business Mailing Address
First Line	:	3838 TUSCALOOSA WAY
Second Line	:
City	:	WEST JORDAN
State	:	UT
Zip	:	84084-1429
Country	:	US
Telephone Number	:	928-607-4122
Fax Number	:

Provider Business Practice Location Address
First Line	:	3838 TUSCALOOSA WAY
Second Line	:
City	:	WEST JORDAN
State	:	UT
Zip	:	84084-1429
Country	:	US
Telephone Number	:	928-607-4122
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2006
Last Update Date	:	12/13/2010

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1093657892 — CARRIE ANNE RUSSO
Practice Location Address:

630 S WICKHAM RD STE 107
WEST MELBOURNE, FL
32904-1429

Practice Phone: 321-608-0604
Practice Fax:

1477579654 — AMERICAN HOMECARE SUPPLY NEW YORK
Practice Location Address:

2170 UNION RD
WEST SENECA, NY
14224-1429

Practice Phone: 716-656-0195
Practice Fax: 716-656-7087

1447323357 — LSJ FAMILY DRUG DBA LSJ UNITED DRUG
Practice Location Address:

1280 WEST UTAH AVENUE
HILDALE, UT
84784-1429

Practice Phone: 435-874-1415
Practice Fax: 435-874-1417

1386791119 — BURLINGTON C.S.D.
Practice Location Address:

1429 WEST AVE
BURLINGTON, IA
52601-4064

Practice Phone: 319-753-6791
Practice Fax:

1013044890 — DR. KENLEY JACKSON LOFTIS D.M.D.
Practice Location Address:

1429 SUNSET BLVD.
WEST COLUMBIA, SC
29169-6722

Practice Phone: 803-794-8741
Practice Fax: 803-794-2149

Directions to “ ALICIA VIGIL-RYAN SPT” 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.