Provider Demographics
NPI:1932503000
Name:K2 PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:K2 PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLAUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:541-505-7594
Mailing Address - Street 1:2295 COBURG RD
Mailing Address - Street 2:B2
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-7486
Mailing Address - Country:US
Mailing Address - Phone:541-505-7594
Mailing Address - Fax:541-505-7661
Practice Address - Street 1:2295 COBURG RD
Practice Address - Street 2:B2
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-7486
Practice Address - Country:US
Practice Address - Phone:541-505-7594
Practice Address - Fax:541-505-7661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-17
Last Update Date:2014-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5157261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy