Individual
JOSHUA RAY BANUELOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2780 E BARNETT RD STE 200, MEDFORD, OR 97504-8674
(541) 779-6250
Mailing address
2780 E BARNETT RD STE 200, MEDFORD, OR 97504-8674
(541) 779-6250
(541) 608-2535
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070027715
IL
225100000X
Physical Therapist
Primary
070027715
OR
Other
Enumeration date
09/11/2023
Last updated
04/13/2026
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