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NPI Code Detail

MEDICARE: BRIDGET PACHECO

MEDICARE: BRIDGET PACHECO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist8845456-4701UT

General Provider Information

NPI Number : 1164356382
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIDGET PACHECO
Provider Business Mailing Address
First Line : 578 E 5400 S
Second Line :
City : MURRAY
State : UT
Zip : 84107-6829
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9221 S REDWOOD RD STE B
Second Line :
City : WEST JORDAN
State : UT
Zip : 84088-5803
Country : US
Telephone Number : 801-949-4449
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2026
Last Update Date : 06/11/2026

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Directions to “ BRIDGET PACHECO ” Practice Location

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