| NPI | 1851506273 |
|---|---|
| Former Legal Business Name | CANYON SPIRIT PHYSICAL THERAPY, INC |
| Entity Type | Organization |
| Authorized Contact | SHAWN M FLOT President Owner 541-890-7372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 4572) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 4749) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2015-05-12 |