# ALEVIA PHYSICAL THERAPY LLC

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

## Provider details

- **NPI number:** 1679959571
- **Authorized official:** JORDAN CHRISTOPHER SPENCE PT, DPT (CEO)
- **Authorized official phone:** (541) 210-5674

## Contact information

- **Practice address:** 1345 CENTER DR STE 100, MEDFORD, OR 97501-7945
- **Practice address phone:** (541) 210-5674
- **Practice address fax:** (541) 210-5674
- **Mailing address:** 1345 CENTER DR STE 100, MEDFORD, OR 97501-7945
- **Mailing address phone:** (541) 210-5674
- **Mailing address fax:** (541) 210-5674

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 08/04/2015
- **Last updated:** 10/16/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 500705016 | — | OR |