Tanesha Larae Atwell
Individual provider Active NPI Rehabilitation Practitioner · Yucca Valley, CA
NPI 1033459474 · NPPES record last updated Feb 21, 2013
Key facts
- NPI
- 1033459474
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rehabilitation Practitioner 225400000X
- Practice address
- 58945 Business Center Dr
Yucca Valley, CA 92284-7307 - Phone
- (760) 228-9657
- NPI assigned
- Feb 21, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Yes |
Addresses
Primary practice location
58945 Business Center Dr
Yucca Valley, CA 92284-7307
Mailing address
58945 Business Center Dr
Yucca Valley, CA 92284-7307
Phone (760) 228-9657
Other providers in Yucca Valley, CA
- Archangel Hospice, LLC.
- Ramona Arechiga
- Esteban Arellano-Risher
- Beverly M Ary
- Mary Ary
- Avalon Urgent Care Inc
- Ayad M Gharghoury MD Inc
- Caroline Badel
- Pamela Baguley
- Mathew Reid Baker
All providers in Yucca Valley, CA · Rehabilitation Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.