Provider Demographics
NPI:1003683566
Name:MEIER, BRENDEN (DPT)
Entity type:Individual
Prefix:
First Name:BRENDEN
Middle Name:
Last Name:MEIER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:935 N NEW HVN
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85205-5148
Mailing Address - Country:US
Mailing Address - Phone:217-313-7868
Mailing Address - Fax:
Practice Address - Street 1:1702 S VAL VISTA DR STE 107
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85204-7386
Practice Address - Country:US
Practice Address - Phone:480-505-8140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-05
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ033355225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist