Individual
MR. BRADY K ENGLESTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.P.T.
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
Update your record
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