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NPI Code Detail

MEDICARE: ADVANTAGE WELLNESS AND PHYSICAL THERAPY INC

MEDICARE: ADVANTAGE WELLNESS AND PHYSICAL THERAPY INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1326805490
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANTAGE WELLNESS AND PHYSICAL THERAPY INC
Provider Business Mailing Address
First Line : 3435 SILVERBELL RD
Second Line :
City : CHICO
State : CA
Zip : 95973-0386
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3435 SILVERBELL RD
Second Line :
City : CHICO
State : CA
Zip : 95973-0386
Country : US
Telephone Number : 530-774-2261
Fax Number : 530-774-2378
Authorized Official
Title or Position : CEO/ MANAGER
Name : RYLAN WILLIS
Credential : PT, DPT
Telephone Number : 530-638-5767
Provider Enumeration Date : 03/05/2024
Last Update Date : 03/05/2024

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Directions to “ADVANTAGE WELLNESS AND PHYSICAL THERAPY INC ” Practice Location

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