Individual
NATHAN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
14 COTTAGE ST, MEDFORD, OR 97504-7332
(541) 301-2499
(541) 500-3303
Mailing address
945 OAK ST, ASHLAND, OR 97520-1266
(541) 944-7711
(541) 500-3303
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
T61948
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447766027
—
OR
Enumeration date
10/19/2016
Last updated
01/06/2021
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