MR. BRAD MANGUM, P.T.
Physical Therapist
Active
Individual
NPI: 1316992548
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist | 225100000X | Yes | 5003636-2401 (UT) |
Frequently Asked Questions
NPI 1316992548 is the National Provider Identifier for MR. BRAD MANGUM, P.T., a Physical Therapist provider located in Salem, UT. This NPI was enumerated on May 24, 2006.
MR. BRAD MANGUM, P.T. practices at 555 WEST SR 164, Salem, UT 84653.
Quick Facts
- NPI
- 1316992548
- Type
- Individual
- Enumerated
- May 24, 2006
- Last Updated
- Nov 27, 2023
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