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Individual

DEREK TEDDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT, ATC

Contact information

Practice address
5126 W DAYBREAK PKWY, SOUTH JORDAN, UT 84009-5994
(801) 213-4500
Mailing address
5126 W DAYBREAK PKWY, SOUTH JORDAN, UT 84009-5994

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7359412-2401
UT
2255A2300X
Athletic Trainer

Other

Enumeration date
05/14/2015
Last updated
08/02/2022
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