Organization Name: | ESSENTIAL PHYSICAL THERAPY, INC. |
NPI Number: | 1104210756 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KEITH BLACKWELL (OWNER) |
Mailing Address: | 1902 Jefferson St Ste 2 Eugene |
State: | OR US |
Postal Code: | 974052485 |
Phone Number: | 5418709063 |
Fax Number: | 5412842826 |
NPI Enumeration Date: | 03/21/2015 |
NPI Last Update Date: | 11/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 03956 |
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 |