Healthcare Provider Details

I. General information

NPI: 1649626516
Provider Name (Legal Business Name): BRETT VESHECCO D.P.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2016
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26617 CARMEL CENTER PL
CARMEL CA
93923-8655
US

IV. Provider business mailing address

929 PACIFIC ST
MONTEREY CA
93940-4447
US

V. Phone/Fax

Practice location:
  • Phone: 831-622-0599
  • Fax:
Mailing address:
  • Phone: 831-373-1209
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number291387
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: