# INTEGRATIVE PHYSICAL THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Integrative Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609226059
- **Authorized official:** ANNE NEMEC (OWNER)
- **Authorized official phone:** (541) 523-9664

## Contact information

- **Practice address:** 1928 COURT AVE, BAKER CITY, OR 97814-3445
- **Practice address phone:** (541) 523-9664
- **Practice address fax:** (541) 523-9665
- **Mailing address:** 1928 COURT AVE, BAKER CITY, OR 97814-3445
- **Mailing address phone:** (541) 523-9664
- **Mailing address fax:** (541) 523-9665

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | 03918 | OR | — |

## Other

- **Enumeration date:** 06/16/2016
- **Last updated:** 09/23/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1265459093 | INDIVIDUAL NPI | OR |