Brad Mangum, P.T

NPI 1316992548 · on the registry since 2006

Practice

Address: 555 West Sr 164
Salem, UT 84653
Phone: (385) 203-1313
Fax: (801) 429-0629
Organisation at this address: Ahc Of Salem Llc
Revere Health Pc
Central Utah Clinic, P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 28

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-05-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah