SearchUtah101YM0800X

Tina Brady

NPI 1710354196 · on the registry since 2015 · sole proprietor

Practice

Address
6363 S Faust Way
Taylorsville, UT 84129
Phone
(801) 955-9110

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-09-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah