Individual provider · Type 1 NPI

Ricky Dante Pisanu

Rehabilitation Practitioner · Yreka, CA

NPI number 1861528630 Active

Practice location

2060 Campus Dr
Yreka, CA 96097-9538

Call (560) 841-4100 Map

Mailing address

1200 Auburn Ravine Rd
Auburn, CA 95603-3606

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1861528630

Ricky Dante Pisanu's National Provider Identifier is 1861528630, issued on Feb 26, 2007. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Yreka, CA. The record was last updated on Sep 8, 2026.