Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. CHELLISA PAULINE MATA, PT
ActivePhysical Therapy Assistant · BRYAN, TX
Registration Details
- NPI Number
- 1255655528
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 16, 2010 (16.163552458793 yrs)
- Last Updated
- Apr 11, 2013
- License
-
1179563 (TX)
Practice Information
- Address
-
1318 MEMORIAL DRBRYAN, TX, 778025215Browse TX providers · Browse ZIP 77802
- Phone
- 9797762872
- Fax
- 9797761456
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in BRYAN, TX
| Name | Credential | NPI |
|---|---|---|
| MR. BRUCE LEE FORSYTH | PT | 1992799605 |
| LEON F. BRADWAY III | PHYSICIAL THERAPIST | 1932179306 |
| AMANDA JEAN LIGHTSEY | PT | 1174586432 |
| AARON ERWIN FOREMAN | P.T.,C.P.O. | 1033214952 |
| MRS. CORISSA MICHELE ROSSOW | PT, MPT | 1861577199 |
| MRS. MARY CHRISTINE GANTT | MPT | 1841347168 |
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.