KICK PERFORMANCE THERAPY LLC

PORTLAND, OR
NPI1235881178
Entity TypeOrganization
Authorized ContactNATHAN EVANS
Physical Therapist
806-670-3481
Organization Subpart ?No
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2022-01-21
Last Update Date2022-01-21
Business Address
KICK PERFORMANCE THERAPY LLC
949 NW OVERTON ST UNIT 1508
PORTLAND, OR 97209-3278
Phone number: 806-670-3481
Mailing Address
KICK PERFORMANCE THERAPY LLC
949 NW OVERTON ST UNIT 1508
PORTLAND, OR 97209-3278
Phone number: 806-670-3481
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