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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LYLE MELVIN ANDERSEN, PT

Active

LYLE MELVIN ANDERSEN, PT is a Physical Therapy Assistant healthcare provider located in MODESTO, California. NPI 1265413918 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · MODESTO, CA

Registration Details

NPI Number
1265413918
Provider Type
Individual
Gender
Male
NPI Issued
Nov 9, 2005 (20.61791887029 yrs)
Last Updated
Apr 17, 2017
License
PT5278 (CA)

Practice Information

Address
1917 COFFEE RD
MODESTO, CA, 953552704
Browse CA providers · Browse ZIP 95355
Phone
2095494626
Fax
2095494625
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in MODESTO, CA

Name Credential NPI
KAREN CHIYOKO KAJIOKA PT 1265423669
STEPHEN MATTHEW WILLEY PT 1912998311
ANTOINETTE MARIE COPE PT 1144201856
WINONA LOUISE GOWIN PT 1487630836
DOUGLAS CHARLES CLAUSSEN DPT 1841268661
DR. WILLIAM M. MORRIS III M.S., P.T., D.P.T. 1578525788
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.