Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PORNPRAPA PREAMABOOT, DPT
Active Sole ProprietorPORNPRAPA PREAMABOOT, DPT is a Physical Therapy Assistant healthcare provider located in SAN ANSELMO, California. NPI 1659023109 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · SAN ANSELMO, CA
Registration Details
- NPI Number
- 1659023109
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 25, 2022 (4.5641101105088 yrs)
- Last Updated
- Nov 9, 2025
- License
-
309204 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
33 VALLEY RDSAN ANSELMO, CA, 949601516Browse CA providers · Browse ZIP 94960
- Phone
- 4156903850
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in SAN ANSELMO, CA
| Name | Credential | NPI |
|---|---|---|
| MRS. KELLY NICOLE CLYMER | P.T. | 1588617252 |
| MS. ANDREA H ROUSSOS | PT | 1255475687 |
| JASON ANTONE SANTOS | M.P.T. | 1154456804 |
| DR. TRAVIS PETER DURO | P.T., D.P.T., MPT | 1760605257 |
| KRISTY LAUREN EWERT | PT | 1770839839 |
| DEBORAH JEANNE TULLY | P.T. | 1528504396 |
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.