NPI 1114031788

Michael C Chan, RPT

Practitioner Physical Therapist Nellis Afb, NV

Practice location

Address: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600
Phone: (702) 653-3630
Mailing address: 6109 Lonesome Cactus St, Las Vegas, NV 89130-1054

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 0860 (NV)

Other Physical Therapist providers in Nevada →

Registry record

NPI: 1114031788
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Aug 2006
Record last updated: 8 Jul 2007

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.