# STARTING LINE PHYSICAL THERAPY

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

## Provider details

- **NPI number:** 1245789130
- **Authorized official:** JULIETTE L HYATT PT (OWNER/PHYSICAL THERAPIST)
- **Authorized official phone:** (541) 266-7050

## Contact information

- **Practice address:** 1957 THOMPSON RD STE A, COOS BAY, OR 97420
- **Practice address phone:** (541) 266-7050
- **Practice address fax:** (541) 266-0180
- **Mailing address:** 1957 THOMPSON RD STE A, COOS BAY, OR 97420
- **Mailing address phone:** (541) 266-7050
- **Mailing address fax:** (541) 266-0180

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 261QP2300X | Primary Care Clinic/Center | 4529 | OR | — |

## Other

- **Enumeration date:** 10/03/2016
- **Last updated:** 11/28/2022