DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DEREK TEDDER DPT, ATC

MEDICARE: DEREK TEDDER DPT, ATC
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
12255A2300XAthletic Trainer
2225100000XPhysical Therapist7359412-2401UT

General Provider Information

NPI Number : 1043698665
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEREK TEDDER DPT, ATC
Provider Business Mailing Address
First Line : 5126 W DAYBREAK PKWY
Second Line :
City : SOUTH JORDAN
State : UT
Zip : 84009-5994
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5126 W DAYBREAK PKWY
Second Line :
City : SOUTH JORDAN
State : UT
Zip : 84009-5994
Country : US
Telephone Number : 801-213-4500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2015
Last Update Date : 08/02/2022

Similar Medicare Providers

1770381808 — DANIELLE WILLIAMS RN, BSN
Practice Location Address:
5126 W DAYBREAK PKWY
SOUTH JORDAN, UT
84009-5994
Practice Phone: 801-213-3975
Practice Fax:
1578652160 — UNIVERSITY OF UTAH
Practice Location Address:
5126 W DAYBREAK PKWY , ROOM 101
SOUTH JORDAN, UT
84009-5994
Practice Phone: 801-213-4550
Practice Fax: 801-213-4555
1336341312 — PHILIP THEODORE NAJM M.D.
Practice Location Address:
5126 W DAYBREAK PKWY
SOUTH JORDAN, UT
84009-5994
Practice Phone: 801-213-3975
Practice Fax:
1558557322 — DR. BRIGHAM RONALD SMITH M.D.
Practice Location Address:
5126 W DAYBREAK PKWY
SOUTH JORDAN, UT
84009-5994
Practice Phone: 801-213-4500
Practice Fax:
1154731685 — DR. KELLI XENIA GROSS M.D.
Practice Location Address:
5126 W DAYBREAK PKWY
SOUTH JORDAN, UT
84009-5994
Practice Phone: 801-213-4500
Practice Fax:
1093185688 — MRS. CAROLYN SANDSTROM
Practice Location Address:
5126 W DAYBREAK PKWY
SOUTH JORDAN, UT
84009-5994
Practice Phone: 801-213-4567
Practice Fax:

Directions to “ DEREK TEDDER DPT, ATC” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.