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Shella R Thorson, PT

Licensed Psychiatric Technician in Indio, CA. Individual provider (NPI-1).

NPI number1609645720
StatusActive
Last updated in NPPESDec 29, 2023

Details

NPI
1609645720
Entity type
Individual (NPI-1)
Name
Shella R Thorson
Credential
PT
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 29, 2023
Certification date
Dec 29, 2023
Last updated
Dec 29, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
167G00000X Licensed Psychiatric TechnicianPT27232CAYes

Practice location

47915 Oasis St
Indio, CA 92201-6950

Phone 760-863-8600

Mailing address

47915 Oasis St
Indio, CA 92201-6950

Phone 760-863-8600

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Licensed Psychiatric Technician providers in Indio, CA

All 9 Licensed Psychiatric Technician providers in Indio · All 1,988 providers in Indio

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