Provider Demographics
NPI:1003446410
Name:COMPANION, JANELLE KALEI (ATC)
Entity Type:Individual
Prefix:
First Name:JANELLE
Middle Name:KALEI
Last Name:COMPANION
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13418 WARREN AVE
Mailing Address - Street 2:
Mailing Address - City:EAST GARRISON
Mailing Address - State:CA
Mailing Address - Zip Code:93933-4990
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13418 WARREN AVE
Practice Address - Street 2:
Practice Address - City:EAST GARRISON
Practice Address - State:CA
Practice Address - Zip Code:93933-4990
Practice Address - Country:US
Practice Address - Phone:831-236-2907
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-24
Last Update Date:2020-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer