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1386660637

NPI Code Detail

MEDICARE: MR. GAIL TYLER BRINKERHOFF M.S.P.T.

MEDICARE: MR. GAIL TYLER BRINKERHOFF M.S.P.T.

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
1	225100000X	Physical Therapist	590-3988	UT

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
8	650019316	OTHER	UT	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7685159	OTHER	UT	AETNA
2	190649300	OTHER	UT	OWCP
3	870656237TB1	OTHER	UT	EDUCATORS MUTUAL
4	95310149204001	OTHER	UT	BCBS PPO
5	59794	OTHER	UT	PEHP
6	64-00291	OTHER	UT	UNITED HEALTH CARE
7	2012098	OTHER	UT	FIRST HEALTH
9	107008975102	OTHER	UT	SELECT HEALTH
10	203518	OTHER	UT	IHC SELECT MED
11	638620	OTHER	UT	DMBA
12	95310148202001	OTHER	UT	BCBS TRADITIONAL
13	PRA03877	OTHER	UT	MOLINA

General Provider Information

NPI Number	:	1386660637
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. GAIL TYLER BRINKERHOFF M.S.P.T.

Provider Business Mailing Address
First Line	:	166 W 1325 N
Second Line	:	SUITE 100
City	:	CEDAR CITY
State	:	UT
Zip	:	84720-7792
Country	:	US
Telephone Number	:	435-586-0064
Fax Number	:	435-867-1243

Provider Business Practice Location Address
First Line	:	166 W 1325 N
Second Line	:	SUITE 100
City	:	CEDAR CITY
State	:	UT
Zip	:	84720-7792
Country	:	US
Telephone Number	:	435-586-0064
Fax Number	:	435-867-1243

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1164455887 — MR. BRADY K ENGLESTEAD M.P.T.
Practice Location Address:

166 W 1325 N , SUITE 100
CEDAR CITY, UT
84720-7792

Practice Phone: 435-586-0064
Practice Fax: 435-867-1243

1780600049 — MR. ADAM L MENDENHALL M.P.T.
Practice Location Address:

166 W 1325 N , SUITE 100
CEDAR CITY, UT
84720-7792

Practice Phone: 435-586-0064
Practice Fax: 435-867-1243

1417976499 — TORI B FORSYTH P.T.
Practice Location Address:

166 W 1325 N , STE 100
CEDAR CITY, UT
84720-7792

Practice Phone: 435-586-0064
Practice Fax: 435-867-1243

1528087236 — MICHAEL G STULTS MD
Practice Location Address:

166 W 1325 N , #350
CEDAR CITY, UT
84720-7792

Practice Phone: 435-586-8192
Practice Fax:

1780606848 — CHAD R FLETCHER O.T.R.L
Practice Location Address:

166 W 1325 N , STE 100
CEDAR CITY, UT
84720-7792

Practice Phone: 435-586-0064
Practice Fax: 435-867-1243

1194735225 — GARLAND EARWOOD O.T. R. L.
Practice Location Address:

166 W 1325 N , STE 100
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84720-7792

Practice Phone: 435-586-0064
Practice Fax: 435-867-1243

Directions to “ MR. GAIL TYLER BRINKERHOFF M.S.P.T.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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