Healthcare Provider Details

I. General information

NPI: 1033062609
Provider Name (Legal Business Name): BRYNNLEY PYNE LMT, MLD-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2026
Last Update Date: 02/16/2026
Certification Date: 02/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1160 S STATE ST
OREM UT
84097-7160
US

IV. Provider business mailing address

364 BAYSIDE DR
SARATOGA SPRINGS UT
84045-8149
US

V. Phone/Fax

Practice location:
  • Phone: 801-888-7729
  • Fax:
Mailing address:
  • Phone: 801-888-7729
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number8453038-4701
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: