| Therapeutic Associates - Sutherlin Physical Therapy | |
|
145 Myrtle St, Suite 106, Sutherlin, OR 97479-9113 | |
| (541) 459-8459 | |
| (541) 459-4393 |
| Full Name | Therapeutic Associates - Sutherlin Physical Therapy |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 145 Myrtle St, Sutherlin, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205027547 | NPI | - | NPPES |
| 0334539 | Other | OR | WA L&I |
| CG5282 | Other | OR | RR MEDICARE |
| CG0694 | Other | OR | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Associates - Sutherlin Physical Therapy 16083 Sw Upper Boones Ferry Rd, Suite 300, Tigard, OR 97224-7736 Ph: (503) 443-6156 | Therapeutic Associates - Sutherlin Physical Therapy 145 Myrtle St, Suite 106, Sutherlin, OR 97479-9113 Ph: (541) 459-8459 |
Dan Wakefield Hirtle, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 211 Dakota St, Sutherlin, OR 97479 Phone: 541-315-2851 Fax: 541-315-2853 | |
Fairway Physical Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 211 Dakota St, Sutherlin, OR 97479 Phone: 541-315-2851 Fax: 541-315-2853 |