Provider Demographics
NPI:1215484506
Name:LAYUG, RAYMOND (DPT)
Entity type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:
Last Name:LAYUG
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3020 BRIDGEWAY
Mailing Address - Street 2:
Mailing Address - City:SAUSALITO
Mailing Address - State:CA
Mailing Address - Zip Code:94965-1439
Mailing Address - Country:US
Mailing Address - Phone:619-632-3953
Mailing Address - Fax:
Practice Address - Street 1:3020 BRIDGEWAY
Practice Address - Street 2:
Practice Address - City:SAUSALITO
Practice Address - State:CA
Practice Address - Zip Code:94965-1439
Practice Address - Country:US
Practice Address - Phone:415-237-3017
Practice Address - Fax:628-234-3054
Is Sole Proprietor?:No
Enumeration Date:2016-09-05
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA291976225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist