Trask River Therapy Llc | |
27025 Trask River Rd, Tillamook, OR 97141-8988 | |
(503) 842-7305 | |
(503) 842-0447 |
Full Name | Trask River Therapy Llc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 27025 Trask River Rd, Tillamook, Oregon |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1659537991 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1696 (Oregon) | Primary |
Provider Name | Susan D Knotts |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1750493813 PECOS PAC ID: 9436062510 Enrollment ID: I20031106000307 |
Mailing Address | Practice Location Address |
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Trask River Therapy Llc 27025 Trask River Rd, Tillamook, OR 97141-8988 Ph: (503) 842-7305 | Trask River Therapy Llc 27025 Trask River Rd, Tillamook, OR 97141-8988 Ph: (503) 842-7305 |
Powerback Rehabilitation Physical Therapist Medicare: Medicare Enrolled Practice Location: 3500 12th St, Tillamook, OR 97141 Phone: 971-354-4267 | |
Jonathan Mark Jackson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 3rd St, Tillamook, OR 97141 Phone: 503-842-4444 | |
Danielle Nightshade, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2101 5th St Ste B, Tillamook, OR 97141 Phone: 503-354-2170 Fax: 541-833-4053 | |
Ms. Susan Diane Knotts, PT LMT Physical Therapist Medicare: Medicare Enrolled Practice Location: 27025 Trask River Road, Tillamook, OR 97141 Phone: 503-842-7305 Fax: 503-842-0447 | |
Brandy Jacob, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 3rd St, Tillamook, OR 97141 Phone: 503-842-4444 |