Shasta Lake Physical Therapy

NPI #1255376893 in Shasta Lake, California

Provider Information

NPI Number: 1255376893
Entity Type: Organization
Organization Name: Shasta Lake Physical Therapy
Primary Specialty: Physical Therapist
Enumeration Date: Jun 18, 2006
Last Updated: Feb 25, 2009

Practice Location

Address: 5061 SHASTA DAM BLVD
City: Shasta Lake
State: California
ZIP Code: 96019-9422
Phone: (530) 275-0777

Authorized Official

Name: MR. DONALD ROY BAAS, P.T.
Title: CO-OWNER / PHYSICAL THERAPIST
Phone: (530) 221-9952

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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