Healthcare Provider Details

I. General information

NPI: 1427227271
Provider Name (Legal Business Name): ANNE C.M.E. HARDEN P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2008
Last Update Date: 12/10/2021
Certification Date: 12/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11623 ARBOR ST
OMAHA NE
68144-2981
US

IV. Provider business mailing address

2276 KELLER LN
SLC UT
84109-2929
US

V. Phone/Fax

Practice location:
  • Phone: 800-334-1919
  • Fax:
Mailing address:
  • Phone: 801-273-9801
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number118908-2401
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: