| NPI | 1396130894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER HAWKS Sole Proprietor Owner And Staff 541-784-7771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 03533) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 13630) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2023-05-24 |