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NPI Code Detail

MEDICARE: TONYA POWERS

MEDICARE: TONYA POWERS
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
1225X00000XOccupational Therapist0709NV

General Provider Information

NPI Number : 1164635231
Entity Type Code : Individual
Provider Name (Legal Business Name) : TONYA POWERS
Provider Business Mailing Address
First Line : 8000 SPRING MOUNTAIN RD
Second Line : 2099
City : LAS VEGAS
State : NV
Zip : 89117-3908
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2625 E SAINT LOUIS AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-4200
Country : US
Telephone Number : 702-855-6903
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2007
Last Update Date : 07/08/2007

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Directions to “ TONYA POWERS ” Practice Location

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