Organization Name: | IMPACT PHYSICAL THERAPY, LLC |
NPI Number: | 1083655260 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CARIE A CAMPOS (OFFICE MANAGER) |
Mailing Address: | 625 Ramsey Ave Suite B Grants Pass |
State: | OR US |
Postal Code: | 975275808 |
Phone Number: | 5414761919 |
Fax Number: | 5414761920 |
NPI Enumeration Date: | 06/09/2006 |
NPI Last Update Date: | 02/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |