# CORVALLIS SPORT AND SPINE PHYSICAL THERAPY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Corvallis Sport and Spine PT
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841388170
- **Authorized official:** KARLA A MOORE (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (541) 753-4246

## Contact information

- **Practice address:** 2635 NW ROLLING GREEN DR, CORVALLIS, OR 97330-3519
- **Practice address phone:** (541) 753-4246
- **Practice address fax:** (541) 757-0545
- **Mailing address:** 2635 NW ROLLING GREEN DR, CORVALLIS, OR 97330-3519
- **Mailing address phone:** (541) 753-4246
- **Mailing address fax:** (541) 757-0545

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | OR | Yes |

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 01/28/2026