Individual
JACE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1910 MARCOLA RD, SPRINGFIELD, OR 97477-2560
(503) 404-0030
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(816) 492-2367
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
CP049401T
OR
225100000X
Physical Therapist
—
WA
225100000X
Physical Therapist
—
—
Other
Enumeration date
08/07/2020
Last updated
09/15/2025
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