Provider Demographics
NPI:1013024447
Name:FRANSETH, DEBRA KAY (DPT, CHT)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:KAY
Last Name:FRANSETH
Suffix:
Gender:F
Credentials:DPT, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6512 WESTSIDE RD STE B
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-4868
Mailing Address - Country:US
Mailing Address - Phone:530-244-0115
Mailing Address - Fax:530-244-0149
Practice Address - Street 1:6512 WESTSIDE RD STE B
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-4868
Practice Address - Country:US
Practice Address - Phone:530-244-0115
Practice Address - Fax:530-244-0149
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2009-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT11902225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ZZZ04420ZOtherMEDICARE GROUP
CA0PT119021Medicare PIN
CAAO079ZMedicare PIN
CAGPT000630Medicare ID - Type UnspecifiedMADICARE GROUP ID
CA0PT119022Medicare PIN
ZZZ04420ZOtherMEDICARE GROUP