# HEALING MOTION PHYSICAL THERAPY, INC.

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

## Provider details

- **NPI number:** 1316919327
- **Authorized official:** DR. ASHLEE NICOLE RODERICK PT, DPT (PRESIDENT)
- **Authorized official phone:** (541) 929-2255

## Contact information

- **Practice address:** 732 MAIN ST, PHILOMATH, OR 97370-9725
- **Practice address phone:** (541) 929-2255
- **Practice address fax:** (541) 929-7055
- **Mailing address:** PO BOX 1360, PHILOMATH, OR 97370-1360
- **Mailing address phone:** (541) 929-2255
- **Mailing address fax:** (541) 929-7055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | 0736 | OR | — |

## Other

- **Enumeration date:** 02/03/2006
- **Last updated:** 04/13/2023