Organization
STARTING LINE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIETTE L HYATT PT (OWNER/PHYSICAL THERAPIST)
(541) 266-7050
Entity
Organization
Contact information
Practice address
1957 THOMPSON RD STE A, COOS BAY, OR 97420
(541) 266-7050
(541) 266-0180
Mailing address
1957 THOMPSON RD STE A, COOS BAY, OR 97420
(541) 266-7050
(541) 266-0180
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QP2300X
Primary Care Clinic/Center
4529
OR
Other
Enumeration date
10/03/2016
Last updated
11/28/2022
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