Tai Wellness LLC

NPI #1659817336 in Beaverton, Oregon

Provider Information

NPI Number: 1659817336
Entity Type: Organization
Organization Name: Tai Wellness LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jan 18, 2017
Last Updated: Jan 18, 2017

Practice Location

Address: 3101 SW 153RD DR
City: Beaverton
State: Oregon
ZIP Code: 97003-5166
Phone: (503) 671-3962

Authorized Official

Name: TODD GIFFORD
Title: CEO
Phone: (800) 219-8835

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Physical Therapist	225100000X	Primary

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