BEN MICHAEL EVARDOME PTA
NPI 1164754875
Physical Therapy Assistant in Yucaipa, CA
About Ben Michael Evardome Pta NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BEN MICHAEL EVARDOME PTA (NPI 1164754875) is an individual physical therapy assistant in Yucaipa, California, licensed in California (AT6602) and active in the NPI registry since February 2010.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ben Evardome's NPI number?
The NPI number for Ben Evardome is 1164754875. It was assigned to this individual provider in the NPPES registry on February 4, 2010.
Where is Ben Evardome located?
Ben Evardome practices at 34835 Fairport Way, Yucaipa, CA 92399. The listed phone number is (909) 570-9573.
What is Ben Evardome's specialty?
The primary specialty registered for this NPI is Physical Therapy Assistant with taxonomy code 225200000X.
When was this NPI record last updated?
The NPPES record for Ben Evardome was last updated on February 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.