Provider Demographics
NPI:1962751172
Name:SLUSHER, CHELSEA LANAY (DPT)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:LANAY
Last Name:SLUSHER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3238 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-2249
Mailing Address - Country:US
Mailing Address - Phone:414-379-7876
Mailing Address - Fax:
Practice Address - Street 1:780 N EUCLID ST STE 104
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-4125
Practice Address - Country:US
Practice Address - Phone:714-533-3416
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-04
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39382225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist