Provider Demographics
NPI:1437662913
Name:STOGSDILL, TEISHA (PT, DPT)
Entity Type:Individual
Prefix:
First Name:TEISHA
Middle Name:
Last Name:STOGSDILL
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:TEISHA
Other - Middle Name:
Other - Last Name:APELAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:440 STINSON AVE
Mailing Address - Street 2:
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95688-2620
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:440 STINSON AVE
Practice Address - Street 2:
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95688-2620
Practice Address - Country:US
Practice Address - Phone:916-878-7369
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-07
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT293773225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist