| NPI | 1073652822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN SHIMEK President Owner 541-773-7776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR PT3277) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OR PTA7591) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |