Athletic Advantage Physical Therapy LLC

NPI #1922841196 in La Grande, Oregon

Provider Information

NPI Number: 1922841196
Entity Type: Organization
Organization Name: Athletic Advantage Physical Therapy LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jun 17, 2024
Last Updated: Jun 17, 2024

Practice Location

Address: 2412 E O AVE
City: La Grande
State: Oregon
ZIP Code: 97850-3853
Phone: (541) 519-0822

Authorized Official

Name: RACHAEL DILLAVOU, PT, DPT
Title: OWNER, PHYSICAL THERAPIST
Phone: (541) 519-0822

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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