Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEXTER TAN, PT
ActiveDEXTER TAN, PT is a Physical Therapy Assistant healthcare provider located in MURRIETA, California. NPI 1790915015 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MURRIETA, CA
Registration Details
- NPI Number
- 1790915015
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 21, 2009 (17.092831263753 yrs)
- Last Updated
- Mar 19, 2025
- Licenses
-
PT 12531 (OH)37767 (CA)
Practice Information
- Address
-
24100 MONROE AVEMURRIETA, CA, 925629507Browse CA providers · Browse ZIP 92562
- Phone
- 9516004640
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in MURRIETA, CA
| Name | Credential | NPI |
|---|---|---|
| KRIS MANKIN | MPT | 1497739759 |
| JOHN ROBERT WAITE | PT DPT OCS | 1063496289 |
| RANDOLPH GEORGE ICE | RPT | 1851375083 |
| MARK CHRISTOPHER HANS | PT, MPT | 1780668665 |
| WESTON ALEXANDER SMITH | DPT, OCS | 1588648349 |
| MICHELLE RENEE CLARK | PT | 1699750778 |
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.