JENNIE D PHOUTHAVONG
NPI 1285429654
Physical Therapy Assistant in Santee, CA
About Jennie D Phouthavong NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIE D PHOUTHAVONG (NPI 1285429654) is an individual physical therapy assistant in Santee, California, licensed in California (PTA48583) and active in the NPI registry since April 2025.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jennie Phouthavong's NPI number?
The NPI number for Jennie Phouthavong is 1285429654. It was assigned to this individual provider in the NPPES registry on April 14, 2025.
Where is Jennie Phouthavong located?
Jennie Phouthavong practices at 300 Lantern Crest Way, Santee, CA 92071. The listed phone number is (619) 312-0929.
What is Jennie Phouthavong'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 Jennie Phouthavong was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.