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Organization
MT. SHASTA PHYSICAL THERAPY, INC.
Active
Organization
MT. SHASTA PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA KOEHLER (BILLING MGR)
(530) 926-6010
Entity
Organization
Contact information
Practice address
633 LASSEN LN, MOUNT SHASTA, CA 96067-9002
(530) 926-6010
(530) 926-6909
Mailing address
633 LASSEN LN, MOUNT SHASTA, CA 96067-9002
(530) 926-6010
(530) 926-6909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/08/2007
Last updated
04/22/2015
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