Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mt Shasta Physical Therapy, Inc

Organization Physical Therapist · NPI 1417098070

Mt Shasta Physical Therapy, Inc is a Physical Therapist in Mount Shasta, California. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

633 Lassen Ln
Mount Shasta, CA 96067-9002
Phone: (530) 926-6010
Fax: (530) 926-6909
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1417098070
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Koehler — Billing Mgr · (530) 926-6010
NPI enumeratedFebruary 8, 2007
Last updated in NPPESApril 22, 2015
Mailing address633 Lassen Ln, Mount Shasta, CA 96067-9002

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