# MADRAS PHYSICAL THERAPY GROUP INC.

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

## Provider details

- **NPI number:** 1881913929
- **Authorized official:** MR. COLETTE NELSON PT (OFFICE MANAGER)
- **Authorized official phone:** (541) 475-2571

## Contact information

- **Practice address:** 910 SW HIGHWAY 97, SUITE 200, MADRAS, OR 97741-9247
- **Practice address phone:** (541) 475-2571
- **Practice address fax:** (541) 475-2590
- **Mailing address:** 910 SW HIGHWAY 97, SUITE 200, MADRAS, OR 97741-9247
- **Mailing address phone:** (541) 475-2571
- **Mailing address fax:** (541) 475-2590

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 2791 | OR | Yes |

## Other

- **Enumeration date:** 05/28/2010
- **Last updated:** 01/22/2016
