Individual
TANNER B JUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
618 CRATER LAKE AVE, MEDFORD, OR 97504-6523
(541) 991-4271
(541) 991-4285
Mailing address
618 CRATER LAKE AVE, MEDFORD, OR 97504-6523
(541) 991-4271
(541) 991-4285
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60608
OR
Other
Enumeration date
07/08/2014
Last updated
02/17/2016
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