Individual
MR. KREGG TYLER LUNT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MSPT
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
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
07/08/2007
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