Basic Information
Provider Information
NPI: 1124443601
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BREMNER
FirstName: MEREDITH
MiddleName: L.
NamePrefix: MRS.
NameSuffix:  
Credential: P.T., D.P.T.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 9218 KIMMER DR 100
Address2:  
City: LONE TREE
State: CO
PostalCode: 801246733
CountryCode: US
TelephoneNumber: 3037927377
FaxNumber: 3037929077
Practice Location
Address1: 6612 S. WARD STREET
Address2:  
City: LITTLETON
State: CO
PostalCode: 80127
CountryCode: US
TelephoneNumber: 3034092133
FaxNumber: 3034092233
Other Information
ProviderEnumerationDate: 02/20/2014
LastUpdateDate: 11/23/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X0012252COY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 
2251X0800X  N Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic

No ID Information.


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