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Brodie Pack, MPT
NPI 1871578203 · on the registry since 2005
Practice
- Address
- 11531 S District Dr Ste 1200
South Jordan, UT 84095 - Phone
- (801) 260-3100
- Fax
- (801) 260-3101
- Organisation at this address
- Pack Physical Therapy, Inc.
Genesis Dental Of South JordanInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
2251S0007X
2251X0800X - Licence states on file
- UT, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-02-07
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