Individual
HEATHER BRIDGHAM IVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4660 MAIN ST STE 600-1, SPRINGFIELD, OR 97478-4021
(541) 683-5187
(541) 689-4525
Mailing address
4660 MAIN ST STE 600-1, SPRINGFIELD, OR 97478-4021
(541) 683-5187
(541) 689-4525
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251G0304X
Geriatric Physical Therapist
—
—
2251N0400X
Neurology Physical Therapist
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
08/28/2025
Last updated
08/28/2025
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