Individual
EMILY IRONSIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2825 E BARNETT RD, MEDFORD, OR 97504-8332
(541) 789-7000
Mailing address
4401 HILLCREST RD, MEDFORD, OR 97504-9645
(541) 973-3245
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62912
OR
Other
Enumeration date
01/03/2026
Last updated
01/03/2026
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