Provider Demographics
NPI:1013894575
Name:WATKINS, VANESSA P
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:P
Last Name:WATKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5701 YOUNG ST STE 103
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-8897
Mailing Address - Country:US
Mailing Address - Phone:661-863-2306
Mailing Address - Fax:
Practice Address - Street 1:5701 YOUNG ST STE 103
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-8897
Practice Address - Country:US
Practice Address - Phone:661-569-4136
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant