MEDICARE: JORDYN TANNER

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

General Provider Information

NPI Number	:	1417734765
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JORDYN TANNER

Provider Business Mailing Address
First Line	:	55 W 1440 N
Second Line	:
City	:	OREM
State	:	UT
Zip	:	84057-8305
Country	:	US
Telephone Number	:	801-680-1946
Fax Number	:

Provider Business Practice Location Address
First Line	:	1227 W 9000 S STE B
Second Line	:
City	:	WEST JORDAN
State	:	UT
Zip	:	84088-9013
Country	:	US
Telephone Number	:	801-282-2200
Fax Number	:

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

Provider Enumeration Date	:	09/11/2023
Last Update Date	:	09/11/2023

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1548997034 — SAVANNAH SLATER OTR/L
Practice Location Address:

1227 W 9000 S STE B
WEST JORDAN, UT
84088-9013

Practice Phone: 801-942-3311
Practice Fax:

1033986864 — NICHOLAS TAKIS DC
Practice Location Address:

10352 S RIVER HEIGHTS DR STE 102
SOUTH JORDAN, UT
84095-9013

Practice Phone: 801-302-0301
Practice Fax:

1467599571 — URBANA AREA AMBULANCE SERVICE
Practice Location Address:

806 WEST SUNSET
URBANA, IA
53245-9013

Practice Phone: 319-443-3293
Practice Fax: 319-443-2693

1770233546 — KIELY MUEY NP
Practice Location Address:

6198 CYPRESS ST
WEST MONROE, LA
71291-9013

Practice Phone: 318-396-5600
Practice Fax:

1558058917 — KND DEVELOPMENT 59 , LLC
Practice Location Address:

6198 CYPRESS ST
WEST MONROE, LA
71291-9013

Practice Phone: 318-396-5600
Practice Fax:

Directions to “ JORDYN TANNER ” 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.