Individual
MR. BRETT A MINTER
Active
Individual
MR. BRETT A MINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5239
GA
225100000X
Physical Therapist
6999
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10035561
AMERIGROUP
GA
05
—
3659205
—
TN
05
—
380348284A
—
GA
01
—
4092611
BCBS
TN
Enumeration date
06/13/2005
Last updated
06/11/2019
Update your record
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