Organization
SPORTHOPEDICS PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT P BYRD P.T. (PHYSICAL THERAPIST OWNER)
(541) 776-2035
Entity
Organization
Contact information
Practice address
1060 CRATER LAKE AVE., SUITE A, MEDFORD, OR 97504
(541) 776-2035
(541) 776-2036
Mailing address
1060 CRATER LAKE AVE., SUITE A, MEDFORD, OR 97504
(541) 776-2035
(541) 776-2036
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025186000
REGENCE BLUECROSS BLUE SH
OR
05
—
230485
—
OR
Enumeration date
05/08/2007
Last updated
05/03/2011
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