Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TANNER SAMUEL CANADAY, PT, DPT
ActiveNeurology (Occupational Therapy) · MEDFORD, OR
Registration Details
- NPI Number
- 1558046623
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 16, 2023 (2.850529075619 yrs)
- Last Updated
- Jun 16, 2023
- License
-
64960 (OR)
Practice Information
- Address
-
1111 CRATER LAKE AVEMEDFORD, OR, 975046241Browse OR providers · Browse ZIP 97504
- Phone
- 5417325686
- Primary Specialty
-
Neurology (Occupational Therapy)
2251N0400X
Other Neurology (Occupational Therapy) Providers in MEDFORD, OR
| Name | Credential | NPI |
|---|---|---|
| MRS. CAROLYN A PIATT | PT | 1366921652 |
| MICHAEL NELSON | PT, DPT | 1134608144 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.