Individual ProviderJeffrey Fred FarranPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address11671 Fountains Dr Ste 200, Maple Grove, MN 55369-4784(763) 585-0605PECOS EnrollmentBased on the most recent information from CMS, provider Jeffrey Fred Farran does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1407988975Provider TypeIndividualFull NameFarran, Jeffrey FredTitleMr.CredentialPTGenderMaleSole ProprietorYesEnumeration Date3/11/2007Last Updated7/8/2014Contact InformationPractice LocationPractice Address11671 Fountains Dr Ste 200, Maple Grove, MN 55369-4784Phone(763) 585-0605FaxUnlisted FaxMailing LocationMailing Address11671 Fountains Dr Ste 200, Maple Grove, MN 55369-4784Phone(763) 585-0605FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense1026Minnesota