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Organization
LIVING WATER PHYSICAL THERAPY INCORPORATED
Active
Organization
LIVING WATER PHYSICAL THERAPY INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE DESJARLAIS KISTLER PT (OWNER)
(541) 292-8505
Entity
Organization
Contact information
Practice address
208 OAK ST STE 304, ASHLAND, OR 97520-1872
(541) 482-0625
Mailing address
215 MOBILE DR, ASHLAND, OR 97520-9021
(541) 292-8505
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/30/2009
Last updated
01/08/2026
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