Chanele Dresser
Individual provider Active NPI Physical Therapy Assistant · Willows, CA
NPI 1366052219 · NPPES record last updated Aug 5, 2020
Key facts
- NPI
- 1366052219
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA49924 (CA)
- Practice address
- 1133 W Sycamore St
Willows, CA 95988-2601 - Phone
- (305) 934-1800
- NPI assigned
- Aug 5, 2020
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| PTA49924 | CA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA49924 | CA | Yes |
Addresses
Primary practice location
1133 W Sycamore St
Willows, CA 95988-2601
Mailing address
1133 W Sycamore St
Willows, CA 95988-2601
Phone (530) 934-1800
Other providers in Willows, CA
- County of Glenn
- Laura Catharine Curtis
- Sandra Dee Davis
- Inez Delores Dermody
- Kristin Michelle Doyle
- Jakob Alexander Duley
- Melissa Ann Epperson
- Victor Leland Epperson
- Niloufar Farid
- Kyle Patrick Farnes
All providers in Willows, CA · Physical Therapy Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2020. 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.