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NPI Code Detail

MEDICARE: MARGO JONES BRADY PT, DPT, CHT

MEDICARE: MARGO JONES BRADY PT, DPT, CHT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251H1200XHand Physical Therapist109201-2401UT

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
5P00218853OTHERUTRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
16400170OTHERUTUNITED HEALTHCARE
227528OTHERUTPEHP
3870388269BR1OTHERUTEDUCATORS MUTUAL
41108540001OTHERUTCIGNA DMERC
633669373004OTHERUTCIGNA
75417OTHERUTDMBA
8QM0000025584OTHERUTALTIUS
9107009230103OTHERUTIHC

General Provider Information

NPI Number : 1104827849
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGO JONES BRADY PT, DPT, CHT
Provider Business Mailing Address
First Line : 5151 S 900 E
Second Line : #100
City : SALT LAKE CITY
State : UT
Zip : 84117-6657
Country : US
Telephone Number : 801-261-3321
Fax Number : 801-261-5942
Provider Business Practice Location Address
First Line : 5151 S 900 E
Second Line : #100
City : SALT LAKE CITY
State : UT
Zip : 84117-6601
Country : US
Telephone Number : 801-261-3321
Fax Number : 801-261-5942
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2005
Last Update Date : 01/04/2011

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