| Organization Name: | MURIETA PHYSICAL THERAPY, INC. |
| NPI Number: | 1124226253 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KYLE M YAMASHIRO (PRESIDENT) |
| Mailing Address: | 7281 Lone Pine Dr # D104 Rancho Murieta |
| State: | CA US |
| Postal Code: | 956839715 |
| Phone Number: | 9163540719 |
| Fax Number: | 9163541187 |
| NPI Enumeration Date: | 07/10/2007 |
| NPI Last Update Date: | 07/11/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |