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NPI Code Detail

MEDICARE: BREANNE L REDFORD DPT

MEDICARE:   BREANNE L REDFORD  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
1225100000XPhysical Therapist8242367-2401UT

General Provider Information

NPI Number : 1801491576
Entity Type Code : Individual
Provider Name (Legal Business Name) : BREANNE L REDFORD DPT
Provider Business Mailing Address
First Line : BEYOND LIMITS PHYSICAL THERAPY
Second Line : 13358 S ROSECREST RD
City : HERRIMAN
State : UT
Zip : 84096-4501
Country : US
Telephone Number : 801-344-6714
Fax Number : 801-438-7746
Provider Business Practice Location Address
First Line : 4317 N PONY EXPRESS PKWY STE 120
Second Line :
City : EAGLE MOUNTAIN
State : UT
Zip : 84005-1230
Country : US
Telephone Number : 801-344-6714
Fax Number : 801-438-7746
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2020
Last Update Date : 12/08/2025

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Directions to “ BREANNE L REDFORD DPT” Practice Location

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