Prineville Physical Therapy, LLC
NPI #1497909378 in Prineville, Oregon
Provider Information
- NPI Number
- 1497909378
- Entity Type
- Organization
- Organization Name
- Prineville Physical Therapy, LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Nov 5, 2008
- Last Updated
- Nov 5, 2008
Practice Location
- Address
- 1251 NE ELM ST
- Address 2
- SUITE 2A
- City
- Prineville
- State
- Oregon
- ZIP Code
- 97754-1206
- Phone
- (541) 447-6846
Authorized Official
- Name
- MR. KENNETH WAYNE SMITH, P.T.
- Title
- OWNER
- Phone
- (541) 447-6846
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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