Individual
MR. RANDY JOE FORSYTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
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
Update your record
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