Provider Demographics
NPI:1982418554
Name:NEURORX PHYSICAL THERAPY INC.
Entity type:Organization
Organization Name:NEURORX PHYSICAL THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KJERSTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SKJOLD
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:530-718-6475
Mailing Address - Street 1:5908 NW 38TH AVE APT 232
Mailing Address - Street 2:
Mailing Address - City:CAMAS
Mailing Address - State:WA
Mailing Address - Zip Code:98607-5411
Mailing Address - Country:US
Mailing Address - Phone:530-718-6475
Mailing Address - Fax:
Practice Address - Street 1:2115 SE 192ND AVE STE 106B
Practice Address - Street 2:
Practice Address - City:CAMAS
Practice Address - State:WA
Practice Address - Zip Code:98607-7444
Practice Address - Country:US
Practice Address - Phone:360-997-1727
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy