FINAL KICK ANKLE AND FOOT CLINIC LLC (NPI# 1730697897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730697897 |
| Entity Type | Organization |
| Organization Name | FINAL KICK ANKLE AND FOOT CLINIC LLC |
| Practice Address |
476 Williams Way Ste B Moab UT 84532-2186 |
| Mailing Address |
348 E 4500 S Ste 370 Salt Lake City UT 84107-3906 |
| Practice Telephone | 4357195550 |
| Mailing Telephone | 3857707203 |
| Mailing Fax Number | 3857707202 |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2018-01-11 |
| Authorized Official Name | SELINA SEKULIC (OWNER) |
| Authorized Official Telephone | 8046875191 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | Y |
| Parent Organization Name | FINAL KICK ANKLE AND FOOT CLINIC LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154860823 | Final Kick Ankle and Foot Clinic LLC | Podiatrist | 348 E 4500 S, Suite 370, Salt Lake City, UT 84107-3906 | 2017-02-14 |
| Street Address |
476 WILLIAMS WAY STE B |
| City | MOAB |
| State | UT |
| Zip Code | 84532-2186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588708804 | Antje A Rath | Counselor | 476 Williams Way Ste B, Moab, UT 84532-2065 | 2007-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386254316 | Andrew Soliz II | Case Manager/Care Coordinator | 48 N Shields Lane, Moab, UT 84532 | 2020-08-04 |
| 1023655420 | William Douglas Wennell | Registered Nurse | 198 E. Center St., Moab, UT 84532 | 2019-12-04 |
| 1295219962 | Jordan Johnson | Case Manager/Care Coordinator | 48 N. Shields Lane, Moad, UT 84532 | 2018-09-19 |
| 1659851681 | Grand County Emergency Medical Services Special Service District | Ambulance | 520 E 100 N, Moab, UT 84532 | 2018-08-20 |
| 1265937072 | Byron Clifton Palmer | Dentist | 2700 Us-191, Suite 1, Moab, UT 84532 | 2018-03-26 |
| 1902290588 | Katherine O'reilly | Advanced Practice Midwife | 51 North Mt.peale, Moab, UT 84532 | 2015-03-23 |
| 1235548108 | Tiffany Lee Ann Van Sickle | Case Manager/Care Coordinator | 198 E Center St., Moab, UT 84532 | 2014-08-05 |
| 1881991701 | Canyonlands Health Care Special Service District | Nursing Facility/Intermediate Care Facility | 390 W Williams Way, Moab, UT 84532 | 2011-02-14 |
| 1518267459 | Advance Medical Services, Inc | Durable Medical Equipment & Medical Supplies | 1105 South Highway Building 1, Moab, UT 84532 | 2010-10-26 |
| 1164694691 | Kenneth B Lindsay | Case Manager/Care Coordinator | 48 North Shields, Moab, UT 84532 | 2008-03-25 |
| Find all providers in zip 84532 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235648049 | Walk Perfect, Inc. | Podiatrist | 1069 S. Stewart Dr, Suite 1, Ogden, UT 84404 | 2017-09-25 |
| 1053560789 | Susan Jespersen Agres | Podiatrist | 5275 Adams Ave Pkwy, Suite A, Ogden, UT 84405-6748 | 2008-09-18 |
| 1225104250 | Jack M Davis | Podiatrist | 2251 W 900 N, Farr West, UT 84404-9586 | 2006-11-28 |
| 1144267089 | Gary R Ridge | Podiatrist | 157 N 400 W, Orem, UT 84057-1909 | 2006-05-31 |
| 1023013794 | William Woodrow Martin | Podiatrist | 550 E 1400 N, Ste N, Logan, UT 84341-2450 | 2005-06-17 |
| 1821492018 | Arches Family Foot Care LLC | Podiatrist | 65 East 100 North, Gunnison, UT 84634-0702 | 2014-10-16 |
| 1881945608 | Central Utah Foot Clinic, LLC | Podiatrist | 120 N 1220 E, Ste 12, American Fork, UT 84003-2089 | 2012-09-20 |
| 1760664668 | Dr Lorell Fawson Dpm | Podiatrist | 3590 Harrison Blvd, Suite G1, Ogden, UT 84403-2060 | 2007-12-03 |
| 1013007632 | Ryan Taylor Rushton | Podiatrist | 7495 S State St, Midvale, UT 84047-2013 | 2006-10-13 |
| 1841202397 | Stanley J Phillips | Podiatrist | 9690 S 1300 E, Suite 120, Sandy, UT 84094-3721 | 2006-08-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on FINAL KICK ANKLE AND FOOT CLINIC LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.