Individual
MR. CHARLES SHELLY GRAYBILL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Mailing address
PO BOX 510721, SALT LAKE CITY, UT 84151-0721
(801) 587-6872
(801) 587-6675
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22-111002-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11100224003001
BLUE CROSS BLUE SHIELD ID
UT
Enumeration date
08/20/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us