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Individual

MR. RANDY JOE FORSYTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
1335 NORTHFIELD RD, SUITE 300, CEDAR CITY, UT 84720-9390
(435) 865-1902
(435) 586-5176
Mailing address
1335 NORTHFIELD RD, SUITE 300, CEDAR CITY, UT 84720-9390
(435) 865-1902
(435) 586-5176

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
121023-2401
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0174004
WASHINGTON STATE LABOR
UT
01
034181
SELECT MED
UT
01
107007215101
SELECT HEALTH
UT
01
5088449
AETNA
UT
01
59792
PEHP
UT
01
638842
DMBA
UT
01
6480151
UNITED HEALTH CARE
UT
01
650019321
RAILROAD MEDICARE
UT
01
870656237RF2
EDUCATORS MUTUAL
UT
01
876542
ARIZONA PHYSICIANS HEALTH
UT
01
9212023202001
BCBS PPO
UT
01
9212102320001
BCBS TRADITIONAL
UT
01
PRA03874
MOLINA
UT
Enumeration date
06/04/2006
Last updated
03/07/2013
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