| Breanne Louise Redford, DPT | |
|
4317 N Pony Express Pkwy Ste 120, Eagle Mountain, UT 84005-1227 | |
| (801) 344-6714 | |
| (801) 438-7746 |
| Full Name | Breanne Louise Redford |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 4317 N Pony Express Pkwy Ste 120, 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 |
|---|---|
| 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 4317 N Pony Express Pkwy Ste 120, Eagle Mountain, UT 84005-1227 Ph: (801) 344-6714 |
Janet Ogletree, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4633 E Golden Hills Loop, Eagle Mountain, UT 84005 Phone: 801-450-0576 | |
Casey J Colyar, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4317 N Pony Express Pkwy Ste 120, Eagle Mountain, UT 84005 Phone: 013-446-7148 Fax: 801-438-7746 | |
Tarrence Joshua Williams, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4317 N Pony Express Pkwy, Eagle Mountain, UT 84005 Phone: 801-344-6714 Fax: 801-438-7746 | |
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: Medicare Enrolled 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 | |
Greg Rogers Whitney, THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2124 E Weeping Willow Way, Eagle Mountain, UT 84005 Phone: 801-899-5036 |