Tenisson, Adria Goppelt
Tenisson, Adria Goppelt is an individual health care provider with primary practice located at 3525 Loma Vista Rd Ste C , Ventura CA 93003-3165. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is her primary health care specialty. Tenisson, Adria Goppelt can be contacted via phone (805) 652-6955.Contact Information
Primary practice address
3525 Loma Vista Rd Ste C
Ventura CA 93003-3165
Phone: (805) 652-6955
Fax: (805) 652-6959
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 22190 | California |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | PT22190 | California |
Profile Details
NPI number | 1528389269 |
---|---|
LBN Legal business name | Tenisson, Adria Goppelt |
Credentials | PT, MPT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 16th, 2010 |
Last updated | Dec 3rd, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1528389269 | NPPES |
California | Other | PT22190 | PT LICENSE |
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