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Individual

MR. BRADY K ENGLESTEAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.P.T.

Contact information

Practice address
166 W 1325 N, SUITE 100, CEDAR CITY, UT 84720-7792
(435) 586-0064
(435) 867-1243
Mailing address
166 W 1325 N, SUITE 100, CEDAR CITY, UT 84720-7792
(435) 586-0064
(435) 867-1243

Taxonomy

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

Other

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
Enumeration date
07/08/2006
Last updated
07/08/2007
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