MEDICARE: CALLEE ANN BRELAND 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	PT44748	FL

General Provider Information

NPI Number	:	1609708494
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CALLEE ANN BRELAND DPT

Provider Business Mailing Address
First Line	:	1008 AIRPORT RD STE A
Second Line	:
City	:	DESTIN
State	:	FL
Zip	:	32541-2822
Country	:	US
Telephone Number	:	850-837-3349
Fax Number	:

Provider Business Practice Location Address
First Line	:	1008 AIRPORT RD STE A
Second Line	:
City	:	DESTIN
State	:	FL
Zip	:	32541-2822
Country	:	US
Telephone Number	:	850-837-3349
Fax Number	:

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

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/04/2026

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