Bruce Goudelock, MSPT - Physical Therapist in Salt Lake City, UT

Bruce Goudelock, MSPT is a Physical Therapist based in Salt Lake City, Utah. Bruce Goudelock is licensed to practice in Utah (license number 5078923-2401) and his current practice location is 482 Bryan Ave, Salt Lake City, Utah. He can be reached at his office (for appointments etc.) via phone at (801) 585-2119.

NPI number for Bruce Goudelock is 1932493707 and his current mailing address is 482 Bryan Ave, Salt Lake City, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1932493707.

Contact Information

Bruce Goudelock, MSPT
482 Bryan Ave,
Salt Lake City, UT 84115-1714
(801) 585-2119
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameBruce Goudelock
GenderMale
SpecialityPhysical Therapist
Location482 Bryan Ave, Salt Lake City, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1932493707
  • Provider Enumeration Date: 06/08/2011
  • Last Update Date: 12/27/2021

Medical Identifiers

Medical identifiers for Bruce Goudelock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932493707NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 5078923-2401 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bruce Goudelock is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bruce Goudelock, MSPT
482 Bryan Ave,
Salt Lake City, UT 84115-1714

Ph: () -
Bruce Goudelock, MSPT
482 Bryan Ave,
Salt Lake City, UT 84115-1714

Ph: (801) 585-2119

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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