# JOE KEENEY PHYSICAL THERAPY, INC.

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

## Provider details

- **NPI number:** 1649523077
- **Authorized official:** JOSEPH H. KENNEY PT (OWNER)
- **Authorized official phone:** (503) 452-7767

## Contact information

- **Practice address:** 7721 SW 34TH AT CAPITOL HIGHWAY, PORTLAND, OR 97219-1725
- **Practice address phone:** (503) 452-7767
- **Practice address fax:** (503) 452-7766
- **Mailing address:** 7721 SW 34TH AT CAPITOL HIGHWAY, PORTLAND, OR 97219-1725
- **Mailing address phone:** (503) 452-7767
- **Mailing address fax:** (503) 452-7766

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 1554 | OR | Yes |
| 225X00000X | Occupational Therapist | 529339 | OR | — |

## Other

- **Enumeration date:** 10/23/2012
- **Last updated:** 10/23/2012