MEDICARE: HANNA RAE WHITE DPT

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
1	225100000X	Physical Therapist	14264403-2401	UT

General Provider Information

NPI Number	:	1083572655
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNA RAE WHITE DPT

Provider Business Mailing Address
First Line	:	13358 S ROSECREST RD
Second Line	:
City	:	HERRIMAN
State	:	UT
Zip	:	84096-4501
Country	:	US
Telephone Number	:	801-302-7230
Fax Number	:	801-601-8245

Provider Business Practice Location Address
First Line	:	BEYOND LIMITS PHYSICAL THERAPY - SJ
Second Line	:	3556 W 9800 S STE 103
City	:	SOUTH JORDAN
State	:	UT
Zip	:	84095-3222
Country	:	US
Telephone Number	:	801-878-9868
Fax Number	:	801-878-9690

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/15/2026

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