| NPI | 1962203604 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JUSTIN LINDSEY Owner, Physical Therapist 541-420-0985  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy | 
| Enumeration Date | 2025-03-20 | 
| Last Update Date | 2025-04-29 |