# FIT FOR LIFE PHYSICAL THERAPY

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

## Provider details

- **NPI number:** 1336987908
- **Authorized official:** ASIYA AKHGAR DPT (PHYSICAL THERAPIST)
- **Authorized official phone:** (360) 204-1240

## Contact information

- **Practice address:** 3007 NE EMERSON ST, PORTLAND, OR 97211-6905
- **Practice address phone:** (503) 213-9423
- **Practice address fax:** (503) 210-1079
- **Mailing address:** 1604 NE 52ND AVE, PORTLAND, OR 97213-2726
- **Mailing address phone:** (360) 204-1240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 07/18/2024
- **Last updated:** 07/18/2024