Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bruce Goudelock, MSPT

Individual provider Physical Therapist · NPI 1932493707

Bruce Goudelock, MSPT is a Physical Therapist in Salt Lake City, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2011

Practice location Address checks out

482 Bryan Ave
Salt Lake City, UT 84115-1714
Phone: (801) 585-2119
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5078923-2401 (UT)

Record details

NPI number1932493707
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPT
Sole proprietorYes
NPI enumeratedJune 8, 2011
Last updated in NPPESDecember 27, 2021
Certification dateDecember 27, 2021

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