Kevin Bohl
Individual provider Active NPI Physical Therapist · Las Vegas, NV
NPI 1275292005 · NPPES record last updated Dec 9, 2021
Key facts
- NPI
- 1275292005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 4370 Blue Diamond Rd Ste 100
Las Vegas, NV 89139-7787 - Phone
- (702) 443-9301
- NPI assigned
- Dec 9, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4720 | NV | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
4370 Blue Diamond Rd Ste 100
Las Vegas, NV 89139-7787
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Other providers in Las Vegas, NV
- Mary E Bohanan
- Charreese Bohannon
- Adele Bohenko
- Bohl Medical Group LLC
- Catherine D Bohl
- Blanca Rocio Bohman
- Natalie Rae Bohn
- Stephen Bohn
- Cassandra Kiersch Bohnett
- Carmen Bohorquez
All providers in Las Vegas, NV · Physical Therapist in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.