IndividualActive
Ida Funke, PT
NPI 1851872428 · Geriatric Physical Therapist · Medford, OR
Provider details
- NPI number
- 1851872428
- Entity type
- Individual
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- 02851 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1111 Crater Lake Ave
Medford, OR 97504-6241
Phone: (541) 732-5028
Approximate (ZIP-level) locationGet directions
Mailing address
1111 Crater Lake Ave
Medford, OR 97504-6241
Registry dates
- Enumerated
- 2018-08-22
- Last updated
- 2018-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.