Healthcare Provider Details

I. General information

NPI: 1518723402
Provider Name (Legal Business Name): BRITNI GARZ DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2024
Last Update Date: 02/27/2024
Certification Date: 02/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 SE BYERS AVE
PENDLETON OR
97801-2324
US

IV. Provider business mailing address

331 SE BYERS AVE
PENDLETON OR
97801-2324
US

V. Phone/Fax

Practice location:
  • Phone: 541-969-5148
  • Fax: 541-966-3240
Mailing address:
  • Phone: 541-969-5148
  • Fax: 541-966-3240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number6599
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: