Individual
MR. RODNEY A MIYASAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1079462401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107000445102
PHC
UT
01
—
190100500
OWCP
UT
01
—
265950
DMBA
UT
01
—
3269413001
CIGNA
UT
01
—
42673
FIRST HEALTH
UT
01
—
44035
PEHP
UT
01
—
6400110
UHC
UT
01
—
650013190
RR MEDICARE
UT
05
—
NO261
—
UT
01
—
QM0000076206
ALTIUS
UT
Enumeration date
07/10/2006
Last updated
08/03/2011
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