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

Rafael Cisneros

Individual provider Physical Therapy Assistant · NPI 1790343739

Rafael Cisneros is a Physical Therapy Assistant in Dallas, Oregon. Practices as a sole proprietor. Licensed in Missouri and Oregon.

Licensed in
MO, OR
In the registry since
2019
Specialties on file
2

Practice location Address checks out

377 NW Jasper St
Dallas, OR 97338-1279
Phone: (913) 953-1220
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 CP000275A (OR)
Physical Therapy Assistant Taxonomy 225200000X · Licence 2018026092 (MO)

Record details

NPI number1790343739
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 4, 2019
Last updated in NPPESJune 4, 2019
Mailing address11820 W 100th Ter, Overland Park, KS 66214-2441

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