Misty Renae Black PTA

  • NPI 1043386220
According to our database, the NPI number for Misty Renae Black PTA is 1043386220 and activated since 17 years ago. Misty Renae Black PTA is an individual provider who specializes in Physical Therapist, and the primary practice location is 795 Farmers Ln, Santa Rosa, CA 95405. You can also contact Misty Renae Black PTA via telephone number is (707) 571-7615. Provider NPI information was last updated on 03/11/2008.

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Overview of Misty Renae Black PTA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 11/28/2006
  • Last updated: 03/11/2008

Primary Scrop of Practice

  • Taxonomy Code: 225100000X
  • Specialty: Physical Therapist
  • License Number: AT6901
  • License State: CA

Provider Mailing Address

  • Address: 795 Farmers Ln
    Ste 10
    Santa Rosa, CA 95405
  • Phone: 707-571-7615
  • Fax: 707-571-8601

Provider Practice Location

  • Address: 795 Farmers Ln
    Ste 10
    Santa Rosa, CA 95405
  • Phone: 707-571-7615
  • Fax: 707-571-8601

Scope of Practice

  • Taxonomy Code: 225100000X
  • Specialty: Physical Therapist
  • License Number: AT6901
  • License State: CA
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Misty Renae Black PTA?
  • A: The npi number for Misty Renae Black PTA is 1043386220.
  • Q: What are Misty Renae Black PTA's specialties?
  • A: Misty Renae Black PTA's specialties are Physical Therapist and different specialities.
  • Q: What is the medical license for Misty Renae Black PTA?
  • A: The medical license number for Misty Renae Black PTA is AT6901 and issued in CA in USA.
  • Q: Where is Misty Renae Black PTA practice location?
  • A: Misty Renae Black PTA is practicing at 795 Farmers Ln, Santa Rosa, CA 95405.
  • Q: How to contact Misty Renae Black PTA?
  • A: You can contact Misty Renae Black PTA via 707-571-7615.