Provider Demographics
NPI:1639976806
Name:MANSLEY, ISABELLA ROSE (DPT)
Entity type:Individual
Prefix:
First Name:ISABELLA
Middle Name:ROSE
Last Name:MANSLEY
Suffix:
Gender:
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29174 SW TOWN CENTER LOOP W STE 202
Mailing Address - Street 2:
Mailing Address - City:WILSONVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97070-9309
Mailing Address - Country:US
Mailing Address - Phone:503-582-8033
Mailing Address - Fax:503-855-3191
Practice Address - Street 1:29174 SW TOWN CENTER LOOP W STE 202
Practice Address - Street 2:
Practice Address - City:WILSONVILLE
Practice Address - State:OR
Practice Address - Zip Code:97070-9309
Practice Address - Country:US
Practice Address - Phone:503-582-8033
Practice Address - Fax:503-855-3191
Is Sole Proprietor?:No
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR65604225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist