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Individual

MR. GAIL TYLER BRINKERHOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S.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
590-3988
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
107008975102
SELECT HEALTH
UT
01
190649300
OWCP
UT
01
2012098
FIRST HEALTH
UT
01
203518
IHC SELECT MED
UT
01
59794
PEHP
UT
01
638620
DMBA
UT
01
64-00291
UNITED HEALTH CARE
UT
01
650019316
RAILROAD MEDICARE
UT
01
7685159
AETNA
UT
01
870656237TB1
EDUCATORS MUTUAL
UT
01
95310148202001
BCBS TRADITIONAL
UT
01
95310149204001
BCBS PPO
UT
01
PRA03877
MOLINA
UT
Enumeration date
07/13/2006
Last updated
07/08/2007
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