Organization · Type 2 NPI

111th Square Fitness and Therapy, LLC

Physical Therapist · Portland, OR

NPI number 1750521985 Active

Practice location

11126 NE Halsey St
Portland, OR 97220-2021

Fax (503) 253-7958

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X0355 (OR)
Athletic Trainer 2255A2300X1333261 (OR)
Massage Therapist 225700000X15397 (OR)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

3 other providers at this address

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About NPI 1750521985

111th Square Fitness and Therapy, LLC's National Provider Identifier is 1750521985, issued on Feb 27, 2009. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Portland, OR. The record was last updated on Feb 27, 2009.