Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Raegan Kirsop

Individual provider Physical Therapist · NPI 1578453874

Raegan Kirsop is a Physical Therapist in LA Pine, Oregon. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

51681 Huntington Rd
LA Pine, OR 97739-9626
Phone: (541) 536-6123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1578453874
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 8, 2025
Last updated in NPPESJuly 8, 2025
Certification dateJuly 8, 2025
Mailing address16083 Sw Upper Boones Ferry Rd Ste 300, Portland, OR 97224-7736

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