Individual
DESTINEE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 W MAIN ST STE E, MOLALLA, OR 97038-7363
(503) 776-0970
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
65692
OR
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
12/30/2020
Last updated
05/19/2025
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