MEDICARE: DENISE VELEZ

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-1310	NV

General Provider Information

NPI Number	:	1346910593
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENISE VELEZ

Provider Business Mailing Address
First Line	:	10540 HEADWIND AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-6491
Country	:	US
Telephone Number	:	702-496-9848
Fax Number	:

Provider Business Practice Location Address
First Line	:	7690 CARMEN BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-3639
Country	:	US
Telephone Number	:	702-255-7399
Fax Number	:

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

Provider Enumeration Date	:	09/19/2021
Last Update Date	:	09/19/2021

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Directions to “ DENISE VELEZ ” Practice Location

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