Healthcare Provider Details

I. General information

NPI: 1235165515
Provider Name (Legal Business Name): WESTERN PHYSICAL THERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2006
Last Update Date: 08/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9341 MIDWAY SUITE C
DURHAM CA
95938-9785
US

IV. Provider business mailing address

PO BOX 493396
REDDING CA
96049-3396
US

V. Phone/Fax

Practice location:
  • Phone: 530-343-2010
  • Fax: 530-343-2012
Mailing address:
  • Phone: 530-221-9952
  • Fax: 530-221-9954

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DONALD ROY BAAS
Title or Position: CO-OWNER PHYSICAL THERAPIST
Credential: P.T.
Phone: 530-221-9952