Marietta, Gail
Marietta, Gail is an individual health care provider with primary practice located at 5151 S 900 E #100, Salt Lake City UT 84117-6601. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Marietta, Gail can be contacted via phone (801) 261-3321.Contact Information
Primary practice address
5151 S 900 E #100
Salt Lake City UT 84117-6601
Phone: (801) 261-3321
Fax: (801) 261-5942
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 111716-240 | Utah |
Profile Details
| NPI number | 1952302630 |
|---|---|
| LBN Legal business name | Marietta, Gail |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2005 |
| Last updated | May 2nd, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952302630 | NPPES |
| Utah | Other | 11171624001001 | BLUE CROSS BLUE SHIELD |
| Utah | Other | 5417 | BLUE CROSS BLUE SHIELD |
| Utah | Other | 870388269BR1 | BLUE CROSS BLUE SHIELD |
| Utah | Other | 6400386 | BLUE CROSS BLUE SHIELD |
| Utah | Other | 9951986 | BLUE CROSS BLUE SHIELD |
| Utah | Other | 68948 | BLUE CROSS BLUE SHIELD |
| Utah | Other | CJ9402 | BLUE CROSS BLUE SHIELD |
| Utah | Other | QM0000060955 | BLUE CROSS BLUE SHIELD |
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