Healthcare Provider Details

I. General information

NPI: 1356548846
Provider Name (Legal Business Name): MICHAEL NEASE PHYSICAL THERAPY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2007
Last Update Date: 08/10/2022
Certification Date: 08/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17815 COUNTRYSIDE CT
SALINAS CA
93907
US

IV. Provider business mailing address

17815 COUNTRYSIDE CT
SALINAS CA
93907-8804
US

V. Phone/Fax

Practice location:
  • Phone: 831-444-5989
  • Fax: 831-632-0600
Mailing address:
  • Phone: 831-444-5989
  • Fax: 831-632-0600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MELINDA BRIGGS
Title or Position: BOOKKEEPER
Credential:
Phone: 831-818-0583