OrganizationActive
Advanced Physical Therapy
NPI 1326118209 · Physical Therapy Clinic/Center · Placerville, CA
Provider details
- NPI number
- 1326118209
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Daack, Physical Therapist, Owner(530) 621-2773
- License
- PT24113 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3084 Cedar Ravine Rd
Placerville, CA 95667-5617
Phone: (530) 621-2773
Fax: (530) 621-3202
Approximate (ZIP-level) locationGet directions
Mailing address
3084 Cedar Ravine Rd
Placerville, CA 95667-5617
Registry dates
- Enumerated
- 2006-11-08
- Last updated
- 2008-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.