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Individual
MR. KREGG TYLER LUNT
Active
Individual
MR. KREGG TYLER LUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
365460-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0183234
WASHINGTON STATE LABOR
WA
01
—
107009169101
SELECT HEALTH
—
01
—
36546024000001
BLUE CROSS BLUE SHIELD TA
—
01
—
36546024004001
BLUE CROSS BLUE SHIELD PP
—
01
—
64-00712
UNITED HEALTH CARE
—
01
—
64479
PEHP
—
01
—
694369
DMBA
—
01
—
7242295
AETNA
—
01
—
PRA04973
MOLINA HEALTH CARE
—
Enumeration date
06/25/2006
Last updated
07/13/2026
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