Provider Demographics
NPI:1265461461
Name:VEISS, ANDRIS LORENZO (PT)
Entity Type:Individual
Prefix:DR
First Name:ANDRIS
Middle Name:LORENZO
Last Name:VEISS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8302 ESPRESSO DR
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312-5687
Mailing Address - Country:US
Mailing Address - Phone:661-377-1700
Mailing Address - Fax:
Practice Address - Street 1:13125 ROSEDALE HWY
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93314-9449
Practice Address - Country:US
Practice Address - Phone:661-377-1700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-01
Last Update Date:2015-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 27976225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP00368921OtherRAILROAD MEDICARE PTAN
CAZZZ04993ZOtherMEDICARE GROUP PTAN
CA0PT279762OtherMEDICARE PTAN
CA0PT279762OtherMEDICARE PTAN
CAZZZ04993ZOtherMEDICARE GROUP PTAN