MEDICARE: JESSI JAECH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	A-1446	NV

General Provider Information

NPI Number	:	1114770443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSI JAECH

Provider Business Mailing Address
First Line	:	9983 SWIMMING HOLE ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89183-7159
Country	:	US
Telephone Number	:	951-591-3360
Fax Number	:

Provider Business Practice Location Address
First Line	:	4640 W SUNSET
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118
Country	:	US
Telephone Number	:	951-591-3360
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2024
Last Update Date	:	04/08/2024

Similar Medicare Providers

1245187525 — LINDSEY ROSENBERG APRN-FNP-C
Practice Location Address:

6070 S RAINBOW BLVD STE 10
LAS VEGAS, NV
89118-2503

Practice Phone: 702-420-7222
Practice Fax:

1093653784 — CHICHI FOMUNYAM
Practice Location Address:

6755 W ARBY AVE
LAS VEGAS, NV
89118-4757

Practice Phone: 405-982-0177
Practice Fax:

1194673491 — KIKAM YUN PROFESSIONAL LIMITED LIABILITY COMPANY
Practice Location Address:

4974 S RAINBOW BLVD
LAS VEGAS, NV
89118-1400

Practice Phone: 702-285-9006
Practice Fax:

1245720010 — TAG 2 COLLABORATION
Practice Location Address:

5860 WYNN RD STE B
LAS VEGAS, NV
89118-3063

Practice Phone: 732-515-5511
Practice Fax:

1093663742 — KRISTINE DAVID PT
Practice Location Address:

4275 W BELL DR STE 6
LAS VEGAS, NV
89118-1734

Practice Phone: 575-791-0341
Practice Fax:

1902467327 — KELLEY NICOLE SELLERS
Practice Location Address:

5940 S RAINBOW BLVD
LAS VEGAS, NV
89118-2506

Practice Phone: 888-531-8385
Practice Fax:

1265248736 — RES WOUND CARE PLLC
Practice Location Address:

5920 S RAINBOW BLVD STE 5
LAS VEGAS, NV
89118-4209

Practice Phone: 725-724-6376
Practice Fax: 702-446-6500

Directions to “ JESSI JAECH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.