# MR. BRADY K ENGLESTEAD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1164455887
- **Gender:** Man
- **Credential:** M.P.T.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 277598-2401 | UT | Yes |

## Other

- **Enumeration date:** 07/08/2006
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 080086 | IHC SELECT MED | UT |
| 01 | — | 107009571103 | SELECT HEALTH | UT |
| 01 | — | 190649300 | OWCP | UT |
| 01 | — | 2012098 | FIRST HEALTH | UT |
| 01 | — | 5650341 | AETNA | UT |
| 01 | — | 59795 | PEHP | UT |
| 01 | — | 638841 | DMBA | UT |
| 01 | — | 64-00636 | UNITED HEALT CARE | UT |
| 01 | — | 650019319 | RAILROAD MEDICARE | UT |
| 01 | — | 870656237BE1 | EDUCATORS MUTUAL | UT |
| 01 | — | 94277598202001 | BCBS PPO | UT |
| 01 | — | 94277598204001 | BCBS TRADITONAL | UT |
| 01 | — | PRA03531 | MOLINA | UT |