OrganizationActive
Athletic Advantage Physical Therapy LLC
NPI 1922841196 · Physical Therapist · La Grande, OR
Provider details
- NPI number
- 1922841196
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Rachael Dillavou, Owner, Physical Therapist(541) 519-0822
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2412 E O Ave
La Grande, OR 97850-3853
Phone: (541) 519-0822
Approximate (ZIP-level) locationGet directions
Mailing address
2412 E O Ave
La Grande, OR 97850-3853
Registry dates
- Enumerated
- 2024-06-17
- Last updated
- 2024-06-17
- Certified
- 2024-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.