Provider Demographics
NPI:1033181391
Name:FRANCESCHI, JEFFREY PETER (MS PT)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:PETER
Last Name:FRANCESCHI
Suffix:
Gender:M
Credentials:MS PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2448 GUERNEVILLE RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95403-4175
Mailing Address - Country:US
Mailing Address - Phone:707-573-8202
Mailing Address - Fax:707-573-8204
Practice Address - Street 1:2448 GUERNEVILLE RD
Practice Address - Street 2:SUITE 300
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95403-4175
Practice Address - Country:US
Practice Address - Phone:707-573-8202
Practice Address - Fax:707-573-8204
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-02
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 10028225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0PT100280Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER