# MOUNTAIN VIEW WELLNESS, PERFORMANCE & SPA, LLC

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

## Provider details

- **NPI number:** 1699485888
- **Authorized official:** GARRETT JACK HOGGARTH PTA (PHYSICAL THERAPY ASSISTANT)
- **Authorized official phone:** (541) 892-6708

## Contact information

- **Practice address:** 7962 JACKS WAY, KLAMATH FALLS, OR 97603-9686
- **Practice address phone:** (541) 205-8375
- **Practice address fax:** (541) 205-3740
- **Mailing address:** 6510 S 6TH ST \# 293, KLAMATH FALLS, OR 97603-7112
- **Mailing address phone:** (541) 205-8375

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/29/2022
- **Last updated:** 06/02/2025