Individual
CARLY NOEL ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5349 ADAMS AVE PKWY, SUITE A, OGDEN, UT 84405-4736
(801) 479-9865
(801) 479-5846
Mailing address
5349 ADAMS AVE PKWY, SUITE A, OGDEN, UT 84405-4736
(801) 479-9865
(801) 479-5846
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2170
MT
2251X0800X
Orthopedic Physical Therapist
Primary
9454249-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011001966
MEDICARE
MT
01
—
P00739771
RAILROAD MEDICARE
MT
Enumeration date
07/30/2008
Last updated
02/02/2016
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