NPI 1003658568

Nathan Patrick Ellis, PTDPT

Practitioner Physical Therapist Las Vegas, NV

Practice location

Address: 6823 Ponderosa Way, Las Vegas, NV 89118-2100
Phone: (702) 665-4054
Mailing address: 10769 Pastel Sunset CT, Las Vegas, NV 89135-1582

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 6412 (NV)

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Registry record

NPI: 1003658568
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jun 2024
Record last updated: 6 Jun 2024

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.