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NPI Code Detail

MEDICARE: BENTLEY PHYSICAL THERAPY LLC

MEDICARE: BENTLEY PHYSICAL THERAPY 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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1558131797
Entity Type Code : Organization
Provider Name (Legal Business Name) : BENTLEY PHYSICAL THERAPY LLC
Provider Business Mailing Address
First Line : PO BOX 303
Second Line :
City : MERRILL
State : OR
Zip : 97633-0303
Country : US
Telephone Number : 541-880-3586
Fax Number : 877-552-1302
Provider Business Practice Location Address
First Line : 415 N MAIN ST
Second Line :
City : MERRILL
State : OR
Zip : 97633
Country : US
Telephone Number : 541-880-3586
Fax Number : 877-552-1302
Authorized Official
Title or Position : OWNER
Name : THOMAS J BENTLEY
Credential : PT
Telephone Number : 541-880-3586
Provider Enumeration Date : 01/08/2024
Last Update Date : 01/22/2024

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Directions to “BENTLEY PHYSICAL THERAPY LLC ” Practice Location

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