Chaeli Rai Ayers, PTA

Individual provider Active NPI Physical Therapy Assistant · Montesano, WA

NPI 1134480403 · NPPES record last updated Jun 4, 2012

Key facts

NPI
1134480403
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
P1 60067260 (WA)
Practice address
800 N Medcalf LN
Montesano, WA 98563-1318
Phone
(360) 249-2363
NPI assigned
Jun 4, 2012
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

State licenses

LicenseStateTypeSpecialty
P1 60067260WAMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X P1 60067260 WA Yes

Addresses

Primary practice location

800 N Medcalf LN
Montesano, WA 98563-1318

Mailing address

800 N Medcalf LN
Montesano, WA 98563-1318
Phone (360) 249-2363

Other providers in Montesano, WA

All providers in Montesano, WA · Physical Therapy Assistant in Washington

Sources for this page

Verify at the official NPI Registry.