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

Nyssa Rosina Midden

Individual provider Physical Therapist · NPI 1306330600

Nyssa Rosina Midden is a Physical Therapist in Clearlake, California. Licensed in California, Montana, New Mexico and Oregon and 2 more. Registered with an NPI since 2018.

Licensed in
CA, MT, NM, OR, VA, WA
In the registry since
2018
Specialties on file
6

Practice location Address checks out

14855 Olympic Dr
Clearlake, CA 95422-9522
Phone: (707) 995-4888
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 293808 (CA)
Physical Therapist Taxonomy 225100000X · Licence PTP-PT-LIC-13014 (MT)
Physical Therapist Taxonomy 225100000X · Licence 62358 (OR)
Physical Therapist Taxonomy 225100000X · Licence 5066 (NM)
Physical Therapist Taxonomy 225100000X · Licence 2305211199 (VA)
Physical Therapist Taxonomy 225100000X · Licence 60847038 (WA)

Record details

NPI number1306330600
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 20, 2018
Last updated in NPPESJune 20, 2018
Mailing address3493 Springer Ridge Rd, Carbondale, IL 62902-7703

Other providers in Clearlake