Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nyssa Rosina Midden

Individual provider Physical Therapist · NPI 1306330600

Nyssa Rosina Midden is a Physical Therapist in Clearlake, California. Licensed in California, Montana, New Mexico and Oregon and 2 more. Registered with an NPI since 2018.

Licensed in
CA, MT, NM, OR, VA, WA
In the registry since
2018
Specialties on file
6

Practice location Address checks out

14855 Olympic Dr
Clearlake, CA 95422-9522
Phone: (707) 995-4888
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 293808 (CA)
Physical Therapist Taxonomy 225100000X · Licence PTP-PT-LIC-13014 (MT)
Physical Therapist Taxonomy 225100000X · Licence 62358 (OR)
Physical Therapist Taxonomy 225100000X · Licence 5066 (NM)
Physical Therapist Taxonomy 225100000X · Licence 2305211199 (VA)
Physical Therapist Taxonomy 225100000X · Licence 60847038 (WA)

Record details

NPI number1306330600
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 20, 2018
Last updated in NPPESJune 20, 2018

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