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Bruce Goudelock, MSPT
NPI 1932493707 · on the registry since 2011 · sole proprietor
Practice
- Address
- 482 Bryan Ave
Salt Lake City, UT 84115 - Phone
- (801) 585-2119
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
- 2021-12-27
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