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NPI Code Detail

MEDICARE: SUMMIT THERAPY & WELLNESS LLC

MEDICARE: SUMMIT THERAPY & WELLNESS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QH0100XHealth Service Clinic/Center

General Provider Information

NPI Number : 1285436949
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUMMIT THERAPY & WELLNESS LLC
Provider Business Mailing Address
First Line : 9582 HILL RD
Second Line :
City : KLAMATH FALLS
State : OR
Zip : 97603-9729
Country : US
Telephone Number : 541-505-4468
Fax Number :
Provider Business Practice Location Address
First Line : 9582 HILL RD
Second Line :
City : KLAMATH FALLS
State : OR
Zip : 97603-9729
Country : US
Telephone Number : 541-505-4468
Fax Number :
Authorized Official
Title or Position : OWNER: PROFESSIONAL COUNSELOR ASSOC
Name : DEANNA PADGET
Credential :
Telephone Number : 541-505-4468
Provider Enumeration Date : 03/25/2025
Last Update Date : 03/25/2025

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Directions to “SUMMIT THERAPY & WELLNESS LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.