# MCKENZIE CROSSING ORTHOPEDIC PHYSICAL THERAPY INC

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

## Provider details

- **NPI number:** 1538224084
- **Authorized official:** MR. BRIAN K. GESIK P.T. (OWNER)
- **Authorized official phone:** (541) 988-3337

## Contact information

- **Practice address:** 145 S 52ND PL, SPRINGFIELD, OR 97478
- **Practice address phone:** (541) 988-3337
- **Practice address fax:** (541) 988-3299
- **Mailing address:** 145 S 52ND PL, SPRINGFIELD, OR 97478-6210
- **Mailing address phone:** (541) 988-3337
- **Mailing address fax:** (541) 988-3299

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | — |

## Other

- **Enumeration date:** 12/26/2006
- **Last updated:** 06/15/2018