Organization
MOUNTAIN VIEW WELLNESS, PERFORMANCE & SPA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARRETT JACK HOGGARTH PTA (PHYSICAL THERAPY ASSISTANT)
(541) 892-6708
Entity
Organization
Contact information
Practice address
7962 JACKS WAY, KLAMATH FALLS, OR 97603-9686
(541) 205-8375
(541) 205-3740
Mailing address
6510 S 6TH ST # 293, KLAMATH FALLS, OR 97603-7112
(541) 205-8375
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/29/2022
Last updated
06/02/2025
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