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NPI 1497173363

OrganizationActive

Advanced Wellness Physical Therapy, PC

NPI 1497173363 · Physical Therapy Clinic/Center · Yucaipa, CA

Provider details

NPI number: 1497173363
Entity type: Organization
Primary specialty: Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Leanne Chavez, Owner/Ceo(909) 553-3434
License: PT15801 (CA)

Specialties & taxonomies

Physical Therapy Clinic/CenterPrimary261QP2000XLicense PT15801 (CA)
Ambulatory Health Care Facilities

Practice location

34799 Fairport Way

Yucaipa, CA 92399-6819

Phone: (909) 553-3434

Approximate (ZIP-level) locationGet directions

More CA providers

Mailing address

34799 Fairport Way

Yucaipa, CA 92399-6819

Additional practice locations (1)

34247 Yucaipa Blvd
Suite I
Yucaipa, CA 92399-6117
Phone: (909) 553-3434

Registry dates

Enumerated: 2014-03-28
Last updated: 2020-03-28
Certified: 2020-03-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Advanced Wellness Physical Therapy, PC — NPI 1497173363, Yucaipa, CA | NPI Central