LEESA NYSTROM, PT

Physical Therapist

Active Individual
NPI: 1801896535

Practice Address

924 S RIVERSIDE AVE
Medford, OR 97501

Phone: (541) 773-7678

Specialties

Specialty Code Primary License
Physical Therapist 225100000X Yes 0775 (OR)

Frequently Asked Questions

NPI 1801896535 is the National Provider Identifier for LEESA NYSTROM, PT, a Physical Therapist provider located in Medford, OR. This NPI was enumerated on July 22, 2005.
LEESA NYSTROM, PT practices at 924 S RIVERSIDE AVE, Medford, OR 97501.

Quick Facts

NPI
1801896535
Type
Individual
Enumerated
Jul 22, 2005
Last Updated
Jul 8, 2007

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