NPI 1043698665
Derek Tedder, DPTATC
Practice location
- Address
- 5126 W Daybreak Pkwy, South Jordan, UT 84009-5994
- Phone
- (801) 213-4500
Registered specialties (2)
Physical Therapist
Primary
Athletic Trainer
Registry record
- NPI
- 1043698665
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 14 May 2015
- Record last updated
- 2 Aug 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.