Organization
LIFE OUT LOUD, LLC
Active
Other names
Elevate Physical Therapy Fitness and Performance
Organization subpart
No
Provider details
NPI number
Authorized official
JASON DANIEL TAYLOR PT, DPT (OWNER, PT)
(541) 887-2030
Entity
Organization
Contact information
Practice address
2312 S 6TH ST STE B, KLAMATH FALLS, OR 97601-4340
(541) 236-2123
(888) 706-1637
Mailing address
2312 S 6TH ST STE B, KLAMATH FALLS, OR 97601-4340
(541) 887-2030
(541) 887-2070
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/18/2019
Last updated
07/20/2020
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