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Individual

BRENDAN BAGLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
1202 N CEDAR HOLLOW BLVD, LEHI, UT 84043-1381
(801) 787-1436
Mailing address
1202 N CEDAR HOLLOW BLVD, LEHI, UT 84043-1381
(801) 787-1436

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
48617222401
UT
2251E1200X
Ergonomics Physical Therapist
48617222401
UT
2251X0800X
Orthopedic Physical Therapist
48617222401
UT

Other

Enumeration date
12/13/2005
Last updated
09/09/2020
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