Individual
KATIE LEE LAIDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
560 COUNTRY CLUB PKWY, SUITE B, EUGENE, OR 97401-6036
(541) 683-5139
(541) 683-5783
Mailing address
560 COUNTRY CLUB PKWY, SUITE B, EUGENE, OR 97401-6036
(541) 683-5139
(541) 683-5783
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
29209
CA
225100000X
Physical Therapist
Primary
5406
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00662426
RAILROAD MEDICARE
OR
Enumeration date
05/21/2007
Last updated
02/19/2010
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