Ted Iwamizu
Physical Therapist in Grants Pass, OR. Individual provider (NPI-1).
NPI number1083662399
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1083662399
- Entity type
- Individual (NPI-1)
- Name
- Mr. Ted Iwamizu
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 5, 2006
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 4225 | OR | Yes |
Practice location
873 Ne 7th StGrants Pass, OR 97526-1634
Phone 541-474-6955
Mailing address
1440 Se Rogue DrGrants Pass, OR 97526-4065
Phone 541-471-2226
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