Joedpt123, LLC
Clinic/Center, Physical Therapy in Redmond, OR. Organization (NPI-2).
NPI number1609660893
StatusActive
Last updated in NPPESMar 27, 2026
Details
- NPI
- 1609660893
- Entity type
- Organization (NPI-2)
- Legal business name
- Joedpt123, LLC
- Organization subpart
- No
- Enumeration date
- Apr 4, 2025
- Certification date
- Mar 27, 2026
- Last updated
- Mar 27, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | Yes |
Practice location
148 Nw 2nd StRedmond, OR 97756-1820
Phone 734-649-9160
Mailing address
3183 Sw 28th StRedmond, OR 97756-7565
Phone 734-649-9160
Authorized official
Joseph Thomas Kundrat
Physical Therapist
7346499160
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