Krace Conner Maw (NPI# 1124510235, PAC ID# 1355695693) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1124510235 |
| PAC ID by PECOS | 1355695693 |
| Professional Enrollment ID | I20181126001976 |
| Full Name | Krace Conner Maw |
| Organization Legal Name | WIESE BODY TUNE PHYSICAL THERAPY PC |
| Address |
1916 N 700 Suite 120 Layton UT 84041-5754 |
| Phone Number | 8012173621 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 5092723817 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1916 N 700, Suite 120, Layton, UT 84041-5754 | 8012173621 | WIESE BODY TUNE PHYSICAL THERAPY PC |
| 5856 Harrison Blvd, Suite A, South Ogden, UT 84403-2117 | 8014756415 | WIESE BODY TUNE PHYSICAL THERAPY PC |
| Organization Legal Name | WIESE BODY TUNE PHYSICAL THERAPY PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deven M Bawden | Physical Therapy | Wiese Body Tune Physical Therapy PC | 5856 Harrison Blvd, Suite A, South Ogden, UT 84403-2117 |
| Korryn Wiese | Physical Therapy | Wiese Body Tune Physical Therapy PC | 1916 N 700, Suite 120, Layton, UT 84041-5754 |
| Aja E Merrill | Physical Therapy | Wiese Body Tune Physical Therapy PC | 5856 Harrison Blvd, Suite A, South Ogden, UT 84403-2117 |
| Street Address |
1916 N 700 SUITE 120 |
| City | LAYTON |
| State | UT |
| Zip | 84041-5754 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark D Corgiat | Psychologist, Clinical | 1916 N 700, Suite 190, Layton, UT 84041-5726 | |
| Rusty L Jenkins | Physical Therapy | Wasatch Therapy Inc | 1916 N 700, Suite 240, Layton, UT 84041-5864 |
| Korryn Wiese | Physical Therapy | Wiese Body Tune Physical Therapy PC | 1916 N 700, Suite 120, Layton, UT 84041-5754 |
| Tyler R Landgren | Physical Therapy | Wasatch Therapy Inc | 1916 N 700, Suite 240, Layton, UT 84041-5864 |
| Robyn A Vaughan | Nurse Practitioner | Ogden Clinic PC | 1916 N 700, Suite 250, Layton, UT 84041-5723 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian H Morgan | Physical Medicine and Rehabilitation | Alpine Spine Sports and Rehabilitation LLC | 1916 N 700 W, Suite 250, Layton, UT 84041 |
| Douglas T Shepherd | Physical Medicine and Rehabilitation | Alpine Spine Sports and Rehabilitation LLC | 1916 N 700 W, Suite 250, Layton, UT 84041 |
| Scott K Thompson | Plastic and Reconstructive Surgery | Utah Plastic Surgery LLC | 2255 N 1700, Suite 205, Layton, UT 84041-1119 |
| Douglas Kimball Henstrom | Plastic and Reconstructive Surgery | Utah Plastic Surgery LLC | 2255 N 1700, Suite 205, Layton, UT 84041-1119 |
| Casey J Thomas | General Surgery | Salt Lake Surgical Services Pllc | 1492 W Antelope Dr, Suite 209, Layton, UT 84041-1139 |
| Wade B Larsen | General Surgery | Salt Lake Surgical Services Pllc | 1492 W Antelope Dr, Suite 209, Layton, UT 84041-1139 |
| Rod Thornley | Clinical Social Worker | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| Michael Washburn | Ophthalmology | Michael D Washburn, M.d. | 2255 N 1700 W, 100 Insight Laser and Cataract Eye Specialists, Layton, UT 84041-1140 |
| Heather L Bernard | Nurse Practitioner | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| Callie A Murray | Clinical Social Worker | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| Find all physicians in zip 84041 | |||
| City | LAYTON |
| Zip Code | 84041 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | LAYTON + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Krace Conner Maw.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.