MEDICARE: RENDY NICOLE DRESSLER

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
1	225200000X	Physical Therapy Assistant	2306606120	VA

General Provider Information

NPI Number	:	1295473171
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RENDY NICOLE DRESSLER

Provider Business Mailing Address
First Line	:	1220 CROZET AVE
Second Line	:
City	:	CROZET
State	:	VA
Zip	:	22932-3163
Country	:	US
Telephone Number	:	540-290-4830
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 YORK AVE
Second Line	:
City	:	STUARTS DRAFT
State	:	VA
Zip	:	24477-3334
Country	:	US
Telephone Number	:	540-290-4830
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2022
Last Update Date	:	05/22/2022

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