| Doctor Name: | ERIC D RUNNELS |
| NPI Number: | 1033185913 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 5292 |
| Business Practice Address: | 1303 Ne Cushing Dr Suite 150 Bend, OR - 977013891 |
| Business Phone Number: | 5413827875 |
| Business Fax Number: | 5413822181 |
| Mailing Address: | 805 Sw Industrial Way, Suite 3 BEND |
| State: | OR |
| Postal Code: | 977021093 |
| Phone Number: | 5415852529 |
| Fax Number: | 5415852536 |
| NPI Enumeration Date: | 02/28/2006 |
| NPI Last Update Date: | 06/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 5292 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |