# PHYSIO KIDS LLC

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

## Provider details

- **NPI number:** 1457136293
- **Authorized official:** JAMIE KREFTING PT, DPT (PT/OWNER)
- **Authorized official phone:** (970) 759-6077

## Contact information

- **Practice address:** 19820 VILLAGE OFFICE CT STE 201, BEND, OR 97702-2949
- **Practice address phone:** (541) 410-6132
- **Practice address fax:** (541) 209-4619
- **Mailing address:** 19820 VILLAGE OFFICE CT STE 201, BEND, OR 97702-2949
- **Mailing address phone:** (541) 410-6132

## Taxonomy

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

## Other

- **Enumeration date:** 08/29/2023
- **Last updated:** 09/18/2023