Individual provider · Type 1 NPI

Deandre Medlock, PTA

Physical Therapist · Placerville, CA

NPI number 1306770490 Active

Practice location

4300 Golden Center Dr Ste B
Placerville, CA 95667-6278

Call (530) 344-2045 Map

Fax (530) 642-0794

Mailing address

4304 Deergrass St
Rancho Cordova, CA 95742-8278

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X53465 (CA)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1306770490

Deandre Medlock, PTA's National Provider Identifier is 1306770490, issued on Jun 11, 2026. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Placerville, CA. The record was last updated on Jun 11, 2026.