# HARRIS PHYSICAL THERAPY - SPORT & SPINE SPECIALISTS, INC

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

## Provider details

- **NPI number:** 1255694501
- **Authorized official:** DR. JASON HARRIS PT, DPT (PRESIDENT)
- **Authorized official phone:** (541) 980-5729

## Contact information

- **Practice address:** 623 E 2ND ST, THE DALLES, OR 97058-2415
- **Practice address phone:** (541) 980-5729
- **Practice address fax:** (541) 550-2228
- **Mailing address:** 623 E 2ND ST, THE DALLES, OR 97058-2415
- **Mailing address phone:** (541) 980-5729
- **Mailing address fax:** (541) 550-2228

## Taxonomy

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

## Other

- **Enumeration date:** 06/21/2012
- **Last updated:** 06/21/2012