Healthcare Provider Details

I. General information

NPI: 1811617095
Provider Name (Legal Business Name): BRIDGER THOMAS CUTLER DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2022
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

545 W CENTER ST
PLEASANT GROVE UT
84062-2215
US

IV. Provider business mailing address

545 W CENTER ST
PLEASANT GROVE UT
84062-2215
US

V. Phone/Fax

Practice location:
  • Phone: 385-258-3103
  • Fax: 801-326-4599
Mailing address:
  • Phone: 385-258-3063
  • Fax: 801-326-4599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number12937499-1202
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: