Individual
BRADY KIELGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CERT. DN
Contact information
Practice address
159 W BROADWAY STE 200, SALT LAKE CITY, UT 84101-1923
(866) 839-6979
Mailing address
159 W BROADWAY STE 200, SALT LAKE CITY, UT 84101-1923
(866) 839-6979
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
114038122401
UT
Other
Enumeration date
03/11/2022
Last updated
01/08/2023
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