Fairway Physical Therapy, LLC

NPI #1669924007 in Sutherlin, Oregon

Provider Information

NPI Number: 1669924007
Entity Type: Organization
Organization Name: Fairway Physical Therapy, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Nov 2, 2016
Last Updated: Nov 2, 2016

Practice Location

Address: 211 DAKOTA ST
City: Sutherlin
State: Oregon
ZIP Code: 97479-9908
Phone: (541) 315-2851

Authorized Official

Name: MR. DAN WAKEFIELD HIRTLE II, PT
Title: OWNER/ DIRECTOR
Phone: (541) 580-8106

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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Provider Name	Specialty	City
Dan Wakefield Hirtle, PT	Physical Therapist	Sutherlin	AI Deep Dive
MRS. Joni M. Fischer-Jones, P.T	Physical Therapist	Portland	AI Deep Dive
MRS. Suzanne M Trebnick, P.T.	Physical Therapist	Portland	AI Deep Dive
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Organizations

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Therapeutic Associates, INC	Physical Therapist	Sutherlin	AI Deep Dive

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