| Fairway Physical Therapy, Llc | |
| 
					211 Dakota St, Sutherlin, OR 97479-9908  | |
| (541) 315-2851 | |
| (541) 315-2853 | 
| Full Name | Fairway Physical Therapy, Llc | 
|---|---|
| Type | Facility | 
| Speciality | Physical Therapist | 
| Location | 211 Dakota St, Sutherlin, Oregon | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1669924007 | NPI | - | NPPES | 
| 1487639977 | Other | OR | INDIVIDUAL NPI | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | 02521 (Oregon) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Fairway Physical Therapy, Llc 211 Dakota St, Sutherlin, OR 97479-9908 Ph: (541) 315-2851  | Fairway Physical Therapy, Llc 211 Dakota St, Sutherlin, OR 97479-9908 Ph: (541) 315-2851  | 
Therapeutic Associates, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 145 Myrtle St, Suite 106, Sutherlin, OR 97479 Phone: 541-459-8459 Fax: 541-459-4393  | |
Dan Wakefield Hirtle, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 211 Dakota St, Sutherlin, OR 97479 Phone: 541-315-2851 Fax: 541-315-2853  |