# SWEETGRASS PHYSICAL THERAPY & WELLNESS LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053607259
- **Authorized official:** DANA K. HUGHES PT (MEMBER)
- **Authorized official phone:** (406) 450-8218

## Contact information

- **Practice address:** 971 NW SPRUCE AVE, CORVALLIS, OR 97330-2234
- **Practice address phone:** (541) 207-3436
- **Practice address fax:** (541) 207-3284
- **Mailing address:** 971 NW SPRUCE AVE, CORVALLIS, OR 97330-2234
- **Mailing address phone:** (406) 450-8218

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/26/2011
- **Last updated:** 07/29/2021