# EDWARD H BUDGE

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

## Provider details

- **NPI number:** 1417957291
- **Gender:** Man
- **Credential:** PT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 1212002401 | UT | Yes |

## Other

- **Enumeration date:** 07/22/2005
- **Last updated:** 04/18/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 305418 | DMBA PROVIDER ID | UT |
| 01 | — | 47728 | PEHP | UT |
| 01 | — | 64-00134 | UNITED HEALTHCARE ID\# | — |
| 01 | — | 870578539BU1 | EDUCATORS MUTUAL PIN | UT |
| 05 | — | D1788/870578539003 | — | UT |
| 01 | — | QM0000076331 | ALTIUS PROVIDER ID | UT |
