Individual
BRIDGER KALE BODILY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
27 S MARIO CAPECCHI DR, SALT LAKE CITY, UT 84112-5888
(801) 581-7498
Mailing address
657 W COTTAGE RIDGE LN, MURRAY, UT 84123-4615
(928) 530-2176
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/02/2025
Last updated
08/02/2025
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