IndividualActive
Cheryl Willis, PTA
NPI 1609885052 · Physical Therapy Assistant · Bangor, ME
Provider details
- NPI number
- 1609885052
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- PA1383 (ME)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
133 Corporate Dr
Suite 2
Bangor, ME 04401-4312
Phone: (207) 992-9286
Fax: (207) 992-9287
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 921
Bangor, ME 04402-0921
Registry dates
- Enumerated
- 2006-08-05
- Last updated
- 2009-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.