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Organization
ESSENTIAL PHYSICAL THERAPY, INC.
Active
Organization
ESSENTIAL PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH BLACKWELL PT (OWNER)
(541) 870-9063
Entity
Organization
Contact information
Practice address
120 SHELTON MCMURPHEY BLVD STE 300, EUGENE, OR 97401
(458) 210-2940
(541) 654-4680
Mailing address
120 SHELTON MCMURPHEY BLVD STE 300, EUGENE, OR 97401-8718
(458) 210-2940
(541) 654-4680
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03956
OR
Other
Enumeration date
03/21/2015
Last updated
10/22/2019
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