Rafael Cisneros

Physical Therapy Assistant · Dallas, OR

Individual Active NPI

NPI number 1790343739

Practice location

377 NW Jasper St
Dallas, OR 97338-1279
Phone
(913) 953-1220

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NPI record

NPI
1790343739
Entity type
Individual (Type 1)
Enumeration date
June 4, 2019
Last updated
June 4, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X CP000275A OR
Physical Therapy Assistant 225200000X 2018026092 MO

Mailing address

11820 W 100TH Ter
Overland Park, KS 66214-2441
Phone
(913) 953-1220

About Rafael Cisneros

Rafael Cisneros is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 377 NW Jasper St, Dallas, OR 97338-1279. The NPI number 1790343739 was assigned on June 4, 2019 and the record was last updated on June 4, 2019.

Rafael Cisneros lists 2 licenses in the registry: #CP000275A (OR) for Physical Therapy Assistant; #2018026092 (MO) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Rafael Cisneros?

The NPI number is 1790343739.

What is the phone number of Rafael Cisneros?

The phone number listed for the practice location is (913) 953-1220.

Where is Rafael Cisneros located?

377 NW Jasper St, Dallas, OR 97338-1279.

What is the taxonomy code for Rafael Cisneros?

The primary taxonomy code is 225200000X – Physical Therapy Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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