Provider Demographics
NPI:1801246848
Name:CLAASSEN, CHELSEY LEIGH (PT, DPT)
Entity type:Individual
Prefix:
First Name:CHELSEY
Middle Name:LEIGH
Last Name:CLAASSEN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:CHELSEY
Other - Middle Name:LEIGH
Other - Last Name:ORNBURN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4205 SAN FELIPE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95135-1546
Mailing Address - Country:US
Mailing Address - Phone:408-238-1552
Mailing Address - Fax:408-841-7205
Practice Address - Street 1:4205 SAN FELIPE RD STE 100
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95135-1546
Practice Address - Country:US
Practice Address - Phone:408-238-1552
Practice Address - Fax:408-841-7205
Is Sole Proprietor?:No
Enumeration Date:2016-06-21
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016024352225100000X
KS11-05408225100000X
CA294538225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist