Restora Physical Therapy INC
Clinic/Center, Physical Therapy in Myrtle Creek, OR. Organization (NPI-2).
NPI number1093694598
StatusActive
Last updated in NPPESAug 28, 2025
Details
- NPI
- 1093694598
- Entity type
- Organization (NPI-2)
- Legal business name
- Restora Physical Therapy INC
- Organization subpart
- No
- Enumeration date
- Aug 28, 2025
- Certification date
- Aug 28, 2025
- Last updated
- Aug 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | Yes |
Practice location
124 Ne Broadway StMyrtle Creek, OR 97457-9039
Phone 541-860-8556
Mailing address
Po Box 6Myrtle Creek, OR 97457-0001
Phone 541-860-8556
Authorized official
Janet Walden
President & Ceo
5418608556
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