OrganizationActive
Brady Theobald Inc
NPI 1346307006 · Certified Registered Nurse Anesthetist · Salt Lake City, UT
Provider details
- NPI number
- 1346307006
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Brady Theobald, President(800) 748-4868
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1220 E 3900 S
Salt Lake City, UT 84124-1327
Phone: (800) 748-4868
Fax: (801) 733-5872
Approximate (ZIP-level) locationGet directions
Mailing address
1954 Fort Union Blvd
Salt Lake City, UT 84121-6800
Registry dates
- Enumerated
- 2007-01-02
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.