Provider Demographics
NPI:1598542839
Name:PUSHEE, CALI ANN (PT, DPT)
Entity Type:Individual
Prefix:
First Name:CALI
Middle Name:ANN
Last Name:PUSHEE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5312 SCHOONER CT
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30504-8266
Mailing Address - Country:US
Mailing Address - Phone:770-608-7812
Mailing Address - Fax:
Practice Address - Street 1:212 RETREAT VLG
Practice Address - Street 2:
Practice Address - City:SAINT SIMONS ISLAND
Practice Address - State:GA
Practice Address - Zip Code:31522-2403
Practice Address - Country:US
Practice Address - Phone:912-638-1444
Practice Address - Fax:912-638-0077
Is Sole Proprietor?:No
Enumeration Date:2023-09-11
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNCP025105T225100000X
VACP026851T225100000X
GAPT016756225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist