Nicholas Keith Sidwell, OT in Castledale, UT - Occupational Therapist

Nicholas Keith Sidwell, OT is a Occupational Therapist based in Castledale, Utah. Nicholas Keith Sidwell is licensed to practice in Utah (license number 7166585-4201) and his current practice location is 150 E Main Street, Castledale, Utah. He can be reached at his office (for appointments etc.) via phone at (435) 381-5100.

NPI number for Nicholas Keith Sidwell is 1700144482 and his current mailing address is Po Box 307, Bountiful, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700144482.

Contact Information

	Nicholas Keith Sidwell, OT
	150 E Main Street, Castledale, UT 84513
	(435) 381-5100
	(435) 381-5099

Healthcare Provider's Profile

Full Name	Nicholas Keith Sidwell
Gender	Male
Speciality	Occupational Therapist
Location	150 E Main Street, Castledale, Utah
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1700144482
Provider Enumeration Date: 05/01/2012
Last Update Date: 05/01/2012

Medical Identifiers

Medical identifiers for Nicholas Keith Sidwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700144482	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	7166585-4201 (Utah)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicholas Keith Sidwell is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nicholas Keith Sidwell, OT Po Box 307, Bountiful, UT 84011-0307 Ph: (801) 294-6907	Nicholas Keith Sidwell, OT 150 E Main Street, Castledale, UT 84513 Ph: (435) 381-5100

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Occupational Therapist in Castledale, UT

Brody J Leroy, OT
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 150 E Main Street, Castledale, UT 84513
Phone: 435-381-5100 Fax: 435-381-5099

Nicholas Keith Sidwell, OT - Occupational Therapist in Castledale, UT