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NPI Code Detail

MEDICARE: BRIDGET CLAIRE LYON

MEDICARE: BRIDGET CLAIRE LYON
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
1225100000XPhysical Therapist13967932-2401UT

General Provider Information

NPI Number : 1548000490
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIDGET CLAIRE LYON
Provider Business Mailing Address
First Line : 347 E 4020 S
Second Line :
City : MILLCREEK
State : UT
Zip : 84107-1621
Country : US
Telephone Number : 970-485-5412
Fax Number :
Provider Business Practice Location Address
First Line : 1265 E FORT UNION BLVD STE 110
Second Line :
City : COTTONWOOD HEIGHTS
State : UT
Zip : 84047-1807
Country : US
Telephone Number : 801-849-0198
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2024
Last Update Date : 10/27/2025

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Directions to “ BRIDGET CLAIRE LYON ” Practice Location

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