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

Jennie D Phouthavong

Individual provider Physical Therapy Assistant · NPI 1285429654

Jennie D Phouthavong is a Physical Therapy Assistant in Santee, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

300 Lantern Crest Way
Santee, CA 92071-4775
Phone: (619) 312-0929
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA48583 (CA)

Record details

NPI number1285429654
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 14, 2025
Last updated in NPPESApril 14, 2025
Certification dateApril 14, 2025

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