Healthcare Provider Details

I. General information

NPI: 1447170691
Provider Name (Legal Business Name): FRANK ROBERT NAVRATIL III
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60555 ONAGA TRL
JOSHUA TREE CA
92252-2932
US

IV. Provider business mailing address

60555 ONAGA TRL
JOSHUA TREE CA
92252-2932
US

V. Phone/Fax

Practice location:
  • Phone: 760-821-5909
  • Fax:
Mailing address:
  • Phone: 760-821-5909
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number54900
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: