Linder Amadon

Individual provider Active NPI Physical Therapy Assistant · Las Vegas, NV

NPI 1235520834 · NPPES record last updated Feb 18, 2015

Key facts

NPI
1235520834
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
0322 (NV)
Practice address
2881 Business Park CT Ste 100
#100
Las Vegas, NV 89128-9019
Phone
(702) 869-6978
Fax
(702) 869-6959
NPI assigned
Feb 18, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0322NVMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 0322 NV Yes

Addresses

Primary practice location

2881 Business Park CT Ste 100
#100
Las Vegas, NV 89128-9019

Mailing address

3831 W. Charleston Blvd. Las Vegas
Las Vegas, NV 89105-1859
Phone (702) 876-1733

Other providers in Las Vegas, NV

All providers in Las Vegas, NV · Physical Therapy Assistant in Nevada

Sources for this page

Verify at the official NPI Registry.