MR. Brad A Mangum, P.T.

NPI #1316992548 in Salem, Utah

Provider Information

NPI Number: 1316992548
Entity Type: Individual
Name: MR. Brad A Mangum, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: May 24, 2006
Last Updated: Nov 27, 2023

Practice Location

Address: 555 WEST SR 164
City: Salem
State: Utah
ZIP Code: 84653
Phone: (385) 203-1313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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