-- SHANE EMERSON BAZE -- P.T.
Individual Provider (NPI-1)
Active
Physical Therapist
Provider Information
- NPI Number
1629317706- Provider Type
- Individual Provider (NPI-1)
- Credentials
- P.T.
- Status
- Active
Contact & Location
- Address
- 2728 PHEASANT BLVD SUITE 100, SPRINGFIELD, OR, 974777509
- Phone
- (541) 736-8870
- Fax
- (541) 736-8860
Specialties & Taxonomies
Physical Therapist
Primary License: OR #60057