NPI 1104378074

Mark a Jimenez, PTA

Practitioner Physical Therapy Assistant North Las Vegas, NV

Practice location

Address: 6900 Pecos Rd, North Las Vegas, NV 89086-4400
Phone: (702) 791-9000

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence A-0496 (NV)

Other Physical Therapy Assistant providers in Nevada →

Registry record

NPI: 1104378074
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Oct 2016
Record last updated: 26 Oct 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.