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

Shasta Lake Physical Therapy

Organization Physical Therapist · NPI 1255376893

Shasta Lake Physical Therapy is a Physical Therapist in Shasta Lake, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
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Practice location Address checks out

5061 Shasta Dam Blvd
Shasta Lake, CA 96019-9422
Phone: (530) 275-0777
Fax: (530) 275-8779
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 00-0004 (CA)

Record details

NPI number1255376893
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Baas — Co-Owner / Physical Therapist · (530) 221-9952
NPI enumeratedJune 18, 2006
Last updated in NPPESFebruary 25, 2009
Mailing addressPo Box 493396, Redding, CA 96049-3396

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