Individual
GREG R THORPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
308308-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03083082403001
BCBS TRADITIONAL
UT
01
—
03083082404001
BCBS PPO
UT
01
—
3913329001
CIGNA
UT
01
—
6400339
UNITED HEALTHCARE
UT
01
—
77715
PEHP
UT
01
—
882631
DMBA
UT
Enumeration date
09/22/2005
Last updated
08/22/2007
Update your record
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