Organization
NATHAN LEWIS DPT, LLC
Active
Other names
Rogue Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN LEWIS DPT (LICENSED PHYSICAL THERAPIST)
(541) 301-2499
Entity
Organization
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) 301-2499
(541) 500-3303
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447766027
—
OR
Enumeration date
12/19/2017
Last updated
01/06/2021
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