Provider Demographics
NPI:1841048014
Name:CHATTA, RHIYANNA (CPT, EIM, OES)
Entity type:Individual
Prefix:
First Name:RHIYANNA
Middle Name:
Last Name:CHATTA
Suffix:
Gender:X
Credentials:CPT, EIM, OES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 SYCAMORE AVE
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92083
Mailing Address - Country:US
Mailing Address - Phone:858-247-2417
Mailing Address - Fax:858-788-0497
Practice Address - Street 1:615 SYCAMORE AVE
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92083
Practice Address - Country:US
Practice Address - Phone:858-247-2417
Practice Address - Fax:858-788-0497
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-10
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA171400000X, 2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No171400000XOther Service ProvidersHealth & Wellness Coach