Candace Ann Cornett, PT

Individual provider Active NPI Physical Therapist · Lemoore, CA

NPI 1730168253 · NPPES record last updated Aug 25, 2008

Key facts

NPI
1730168253
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
23810 (CA)
Practice address
937 Franklin Ave
Lemoore, CA 93246-0001
Phone
(559) 998-4262
Fax
(559) 998-3411
NPI assigned
Jan 12, 2006
Sex
Female
Sole proprietor
No

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
23810CAMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 23810 CA Yes

Addresses

Primary practice location

937 Franklin Ave
Lemoore, CA 93246-0001

Mailing address

1609 Fireside Way
Lemoore, CA 93245-1715

Other providers in Lemoore, CA

All providers in Lemoore, CA · Physical Therapist in California

Sources for this page

Verify at the official NPI Registry.