Whalio Doctors

NPI 1124423033

Kenneth Mesa

Practitioner Occupational Therapy Assistant Las Vegas, NV

Practice location

Address
6649 Pepperidge Way, Las Vegas, NV 89108-5366
Phone
(702) 772-9505

Registered specialties

Occupational Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 12-1140 (NV)

Registry record

NPI
1124423033
Entity type
Individual
Sex (as registered)
Male
NPI issued
4 Nov 2014
Record last updated
4 Nov 2014

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.