Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEREMY WADE KNEDEL, P.T.
ActiveJEREMY WADE KNEDEL, P.T. is a Physical Therapy Assistant healthcare provider located in SHASTA LAKE, California. NPI 1538405881 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · SHASTA LAKE, CA
Registration Details
- NPI Number
- 1538405881
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 13, 2012 (13.664814503645 yrs)
- Last Updated
- Dec 13, 2012
- License
-
PT39675 (CA)
Practice Information
- Address
-
5061 SHASTA DAM BLVDSHASTA LAKE, CA, 960199405Browse CA providers · Browse ZIP 96019
- Phone
- 5302750777
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in SHASTA LAKE, CA
| Name | Credential | NPI |
|---|---|---|
| DONALD ROY BAAS | P.T. | 1245268317 |
| MR. JAMES G EARLE | M.P.T., C.S.C.S. | 1235210501 |
| ERIN MARIE BAAS | PT | 1427253699 |
| JENNIFER LYNN RATLIFF | PT | 1083809750 |
| RYAN VAUGHN TROLL | DPT | 1477008035 |
| STEPHEN DAVIDS | — | 1144839366 |
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.