Breanne Louise Redford, DPT | |
3943 E Pony Express Pkwy Ste 220, Eagle Mountain, UT 84005-5545 | |
(801) 302-7230 | |
(801) 789-7444 |
Full Name | Breanne Louise Redford |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 3943 E Pony Express Pkwy Ste 220, Eagle Mountain, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801491576 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 8242367-2401 (Utah) | Primary |
Provider Name | Herriman Physical Therapy Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780773705 PECOS PAC ID: 7911807508 Enrollment ID: O20040110000169 |
Mailing Address | Practice Location Address |
---|---|
Breanne Louise Redford, DPT 13358 S 5600 W, Herriman, UT 84096-6789 Ph: (801) 302-7230 | Breanne Louise Redford, DPT 3943 E Pony Express Pkwy Ste 220, Eagle Mountain, UT 84005-5545 Ph: (801) 302-7230 |
Casey J Colyar, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3943 E Pony Express Pkwy Ste 220, Eagle Mountain, UT 84005 Phone: 801-789-7333 Fax: 801-789-7444 | |
Kyler Saunders, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 18406 W White Quest Dr, Eagle Mountain, UT 84013 Phone: 801-335-4699 | |
Shawn Colton Reynolds, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3943 E Pony Express Pkwy Ste 220, Eagle Mountain, UT 84005 Phone: 801-789-7333 Fax: 801-789-7444 | |
Shelbey Lyn Magee, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3943 E Pony Express Pkwy, Eagle Mountain, UT 84005 Phone: 801-789-7333 Fax: 801-789-7444 | |
Matthew Philip Sudweeks, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3943 E Pony Express Pkwy Ste 220, Eagle Mountain, UT 84005 Phone: 801-789-7333 Fax: 801-789-7444 | |
Colby D Critchfield, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3943 E Pony Express Pkwy Ste 220, Eagle Mountain, UT 84005 Phone: 801-628-5609 |