| Trask River Therapy Llc | |
|
27025 Trask River Rd, Tillamook, OR 97141-8988 | |
| (503) 842-7305 | |
| (503) 842-0447 |
| Full Name | Trask River Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 27025 Trask River Rd, Tillamook, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659537991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1696 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| 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 |
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 |