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Individual

MR. KREGG TYLER LUNT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSPT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
365460-2401
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0183234
WASHINGTON STATE LABOR
WA
01
107009169101
SELECT HEALTH
01
36546024000001
BLUE CROSS BLUE SHIELD TA
01
36546024004001
BLUE CROSS BLUE SHIELD PP
01
64-00712
UNITED HEALTH CARE
01
64479
PEHP
01
694369
DMBA
01
7242295
AETNA
01
PRA04973
MOLINA HEALTH CARE
Enumeration date
06/25/2006
Last updated
07/13/2026
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