Tedder, Derek
Tedder, Derek is an individual health care provider with primary practice located at 5126 W Daybreak Pkwy , South Jordan UT 84009-5994. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Tedder, Derek can be contacted via phone (801) 213-4500.Contact Information
Primary practice address
5126 W Daybreak Pkwy
South Jordan UT 84009-5994
Phone: (801) 213-4500
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | ||
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 7359412-2401 | Utah |
Profile Details
NPI number | 1043698665 |
---|---|
LBN Legal business name | Tedder, Derek |
Credentials | DPT, ATC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 14th, 2015 |
Last updated | Aug 2nd, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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