Provider Demographics
NPI:1679450035
Name:BREDEHOEFT, HANNAH LEE (PT, DPT)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:LEE
Last Name:BREDEHOEFT
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1805 DIAMOND PKWY APT 6314
Mailing Address - Street 2:
Mailing Address - City:NORTH KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-4378
Mailing Address - Country:US
Mailing Address - Phone:636-448-6630
Mailing Address - Fax:
Practice Address - Street 1:7315 E FRONTAGE RD STE 120
Practice Address - Street 2:
Practice Address - City:MERRIAM
Practice Address - State:KS
Practice Address - Zip Code:66204-1658
Practice Address - Country:US
Practice Address - Phone:913-676-2444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2024026635225100000X
KS11-07683225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist