Individual
BREEANN VERNON ALLRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T
Contact information
Practice address
1400 N 500 E, LOGAN, UT 84341-2455
(435) 716-5010
(435) 716-5624
Mailing address
1515 N 400 E STE 106, LOGAN, UT 84341-7595
(435) 500-5862
(435) 514-5447
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6771549-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6771549-2401
LICENSURE NUMBER
UT
Enumeration date
08/29/2007
Last updated
12/26/2023
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