Doctor Name: | MR. BRANDON M HEPNER |
NPI Number: | 1245211572 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 4553570-2401 |
Business Practice Address: | 5991 S 3500 W Suite 300 Roy, UT - 84067 |
Business Phone Number: | 8019852700 |
Business Fax Number: | 8019852707 |
Mailing Address: | Po Box 3497, STURTEVANT |
State: | WI |
Postal Code: | 531770300 |
Phone Number: | 8775522996 |
Fax Number: | 8662458064 |
NPI Enumeration Date: | 11/14/2005 |
NPI Last Update Date: | 02/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 4553570-2401 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |