Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHASTA LAKE PHYSICAL THERAPY
Active OrganizationSHASTA LAKE PHYSICAL THERAPY is a Physical Therapy Assistant organization located in SHASTA LAKE, California. NPI 1255376893 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · SHASTA LAKE, CA
Registration Details
- NPI Number
- 1255376893
- Provider Type
- Organization
- NPI Issued
- Jun 18, 2006 (20.152557666508 yrs)
- Last Updated
- Feb 25, 2009
- License
-
00-0004 (CA)
Practice Information
- Address
-
5061 SHASTA DAM BLVDSHASTA LAKE, CA, 960199422Browse CA providers · Browse ZIP 96019
- Phone
- 5302750777
- Fax
- 5302758779
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.