NPI 1003277484

Travis Grondel, PTA

Practitioner Physical Therapy Assistant Las Vegas, NV

Practice location

Address: 3831 W Charleston Blvd, Las Vegas, NV 89102-1859
Phone: (702) 876-1733
Mailing address: 3213 Fence Rider Ave, North Las Vegas, NV 89031-5111

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence A-0832 (NV)

Other Physical Therapy Assistant providers in Nevada →

Registry record

NPI: 1003277484
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Mar 2016
Record last updated: 14 Mar 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.