HEIDI OLSEN TIDWELL (NPI# 1669934378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669934378 |
| Entity Type | Individual |
| Full Name | HEIDI OLSEN TIDWELL |
| Credential | PT |
| Practice Address |
1551 Renaissance Towne Dr Ste 420 Bountiful UT 84010-7677 |
| Practice Telephone | 8012958999 |
| Mailing Telephone | 8012958999 |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
269056-2401 | UT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1551 RENAISSANCE TOWNE DR STE 420 |
| City | BOUNTIFUL |
| State | UT |
| Zip Code | 84010-7677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225699192 | Jessyca K Willie | Behavior Technician | 415 S. Medical Drive Suite D101, Bountiful, UT 84010 | 2019-06-21 |
| 1336634344 | Shanna Joy Jaggers | Social Worker | 2333 S 200 E, Bountiful, UT 84010 | 2018-06-22 |
| 1447773171 | Live Life Alarms | Emergency Response System Companies | 640 South 500 West, Bountiful, UT 84010 | 2017-07-25 |
| 1902328842 | Hailey Embley | Behavior Technician | 415 Medical Drive D 101, Bountiful, UT 84010 | 2017-07-12 |
| 1508318031 | Beverly Nielsen | Psychologist | 1001 Lakeview Drive, Bountiful, UT 84010 | 2016-11-01 |
| 1295287720 | Samantha Oslund | Speech-Language Pathologist | 415 Medical Dr Ste B102, Bountiful, UT 84010 | 2016-11-01 |
| 1750748273 | Jeremy Clark Morris | Dentist | 59 W 1600 N, Suite 110, Bountiful, UT 84010 | 2016-01-28 |
| 1629464706 | Shane James | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010 | 2015-04-15 |
| 1891186102 | Kenton Francis | Social Worker | 1355 North Main Street #1, Bountiful, UT 84010 | 2015-02-09 |
| 1205233855 | Modern Dental Professionals - Utah, PC | Dentist | 24 S. 500 West, #a, Bountiful, UT 84010 | 2014-11-25 |
| Find all providers in zip 84010 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851940670 | Austin Jay Nielsen | Physical Therapist | 155 W Canyon Crest Rd Ste 100, Alpine, UT 84004-2031 | 2019-09-04 |
| 1689148454 | Sargent Doil Barnett | Physical Therapist | 822 Turf Farm Rd Unit 3, Payson, UT 84651-5797 | 2019-01-15 |
| 1770054918 | Craft Physical Therapy | Physical Therapist | 537 W 600 S, Salt Lake City, UT 84101-2249 | 2018-12-16 |
| 1902390123 | Andrea Marie Hendricks Harper | Physical Therapist | 98 N 1100 E Ste 402, American Fork, UT 84003-2951 | 2018-06-20 |
| 1568960037 | Northern Holdings | Physical Therapist | 6321 S Redwood Rd Ste 100, Taylorsville, UT 84123-6799 | 2018-01-30 |
| 1134636269 | Elevation Physical Therapy | Physical Therapist | 985 W Riverdale Rd Ste 2, Riverdale, UT 84405-5601 | 2018-01-10 |
| 1336652957 | Brian Lewis Wike I | Physical Therapist | 1868 W 9800 S Ste 200, South Jordan, UT 84095-4713 | 2017-11-06 |
| 1538616230 | Michelle Smith | Physical Therapist | 1794 Olympic Pkwy, Suite 140, Park City, UT 84098-6387 | 2016-09-09 |
| 1558712455 | Tyler Landgren | Physical Therapist | 5349 Adams Ave Pkwy Ste A, Ogden, UT 84405-4736 | 2016-06-22 |
| 1891155057 | Steven Mohlman | Physical Therapist | 39 C St, Springville, UT 84663-2359 | 2016-03-02 |
| Find all providers with the same taxonomy | ||||
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| 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.