Organization
NEW HEIGHTS PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY CLIFTON IVY PT (OWNER)
(541) 426-4870
Entity
Organization
Contact information
Practice address
4 S MAIN ST STE B, JOSEPH, OR 97846-8434
(541) 432-1480
(541) 432-1481
Mailing address
PO BOX 355, ENTERPRISE, OR 97828-0355
(541) 432-1480
(541) 432-1481
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2125
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278254
—
OR
Enumeration date
03/12/2007
Last updated
02/13/2019
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