Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. RICHELLE JEANNINE DRAKE, CLT, MT
Active Sole ProprietorMRS. RICHELLE JEANNINE DRAKE, CLT, MT is a Physical Therapist healthcare provider located in VAN NUYS, California. NPI 1164791935 is currently active in the NPPES registry. Verify at CMS.
Physical Therapist · VAN NUYS, CA
Registration Details
- NPI Number
- 1164791935
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 22, 2011 (14.655528102164 yrs)
- Last Updated
- Dec 22, 2011
- Sole Proprietor
- Yes
Practice Information
- Address
-
15117 HAYNES ST.VAN NUYS, CA, 914111418Browse CA providers · Browse ZIP 91411
- Phone
- 8189016555
- Fax
- 8189016555
- Primary Specialty
-
Physical Therapist
225000000X
- Additional Specialty
- Physical Therapist
- Additional Specialty
- Durable Medical Equipment & Medical Supplies
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.