# BENTLEY PHYSICAL THERAPY LLC

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

## Provider details

- **NPI number:** 1558131797
- **Authorized official:** THOMAS J BENTLEY PT (OWNER)
- **Authorized official phone:** (541) 880-3586

## Contact information

- **Practice address:** 415 N MAIN ST, MERRILL, OR 97633
- **Practice address phone:** (541) 880-3586
- **Practice address fax:** (877) 552-1302
- **Mailing address:** PO BOX 303, MERRILL, OR 97633-0303
- **Mailing address phone:** (541) 880-3586
- **Mailing address fax:** (877) 552-1302

## Taxonomy

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

## Other

- **Enumeration date:** 01/08/2024
- **Last updated:** 01/22/2024