Organization
DIRECT PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE D COOPER P.T. (OWNER/PHYSICAL THERAPIST)
(541) 941-5170
Entity
Organization
Contact information
Practice address
21850 HIGHWAY 62 STE 203, SHADY COVE, OR 97539-8715
(541) 941-5170
(541) 878-8111
Mailing address
997 PATTON LN, ASHLAND, OR 97520-9135
(541) 941-5170
(541) 878-8111
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5130
OR
Other
Enumeration date
02/10/2012
Last updated
04/28/2025
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