| Tai - La Pine | |
|
51681 Huntington Rd, La Pine, OR 97739 | |
| (541) 536-6122 | |
| (541) 536-6123 |
| Full Name | Tai - La Pine |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 51681 Huntington Rd, La Pine, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578054748 | NPI | - | NPPES |
| 500745900 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Tai - La Pine 16083 Sw Upper Boones Ferry Rd Ste 300, Tigard, OR 97224-7736 Ph: (800) 219-8835 | Tai - La Pine 51681 Huntington Rd, La Pine, OR 97739 Ph: (541) 536-6122 |
Jean Marie Mchenry, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 51681 Huntington Rd, La Pine, OR 97739 Phone: 541-536-6122 Fax: 541-536-6123 | |
Sierra Mckenzie Montgomery, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 51600 Huntington Rd Ste 103, La Pine, OR 97739 Phone: 541-536-7443 | |
Mr. Gerald Nash, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 51681 Huntington Rd, La Pine, OR 97739 Phone: 541-536-6122 Fax: 541-536-6123 | |
Mr. George Kohler, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 16487 Bluewood Pl, La Pine, OR 97739 Phone: 541-536-9779 Fax: 541-536-9372 | |
Mrs. Justina Rose Becker, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 51681 Huntington Rd, La Pine, OR 97739 Phone: 541-536-6122 Fax: 541-536-6123 | |
Hollie Michelle Brown, Physical Therapist Medicare: Medicare Enrolled Practice Location: 51681 Huntington Rd # 9626, La Pine, OR 97739 Phone: 541-536-6122 |