DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: RICHARD BRYAN GUILLEN PT, DPT

MEDICARE: RICHARD BRYAN GUILLEN PT, DPT
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
1225100000XPhysical Therapist309009CA
2225100000XPhysical Therapist1331853TX

General Provider Information

NPI Number : 1538778915
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD BRYAN GUILLEN PT, DPT
Provider Business Mailing Address
First Line : 408 HIGUERA ST STE 200
Second Line :
City : SAN LUIS OBISPO
State : CA
Zip : 93401-6135
Country : US
Telephone Number : 805-788-0805
Fax Number : 805-788-0845
Provider Business Practice Location Address
First Line : 534 E PINE ST STE A
Second Line :
City : STOCKTON
State : CA
Zip : 95204-5536
Country : US
Telephone Number : 209-425-4071
Fax Number : 209-451-5687
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2020
Last Update Date : 03/02/2026

Similar Medicare Providers

1124056536 — KEVIN DANIEL LANE PT
Practice Location Address:
534 E PINE ST , SUITE A
STOCKTON, CA
95204-5536
Practice Phone: 209-463-5800
Practice Fax: 209-463-5900
1073521688 — DEREK THOMAS ALDAY ROBINSON OTR/L
Practice Location Address:
534 E PINE ST , SUITE A
STOCKTON, CA
95204-5536
Practice Phone: 209-463-5800
Practice Fax: 209-463-5900
1417037946 — JBJC INC.
Practice Location Address:
534 E PINE ST , SUITE A
STOCKTON, CA
95204-5536
Practice Phone: 209-463-5800
Practice Fax: 209-463-5900
1073693461 — PETER HOHENTHANER P.T.
Practice Location Address:
534 E PINE ST , SUITE A
STOCKTON, CA
95204-5536
Practice Phone: 209-463-5800
Practice Fax:
1740360015 — SANDRA BUECHER P.T.
Practice Location Address:
534 E PINE ST , SUITE A
STOCKTON, CA
95204-5536
Practice Phone: 209-463-5800
Practice Fax:
1053492512 — MICHAEL S KO DPT.,ATC
Practice Location Address:
534 E PINE ST , SUITE A
STOCKTON, CA
95204-5536
Practice Phone: 209-463-5800
Practice Fax: 209-463-5900

Directions to “ RICHARD BRYAN GUILLEN PT, DPT” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.