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NPI Code Detail

MEDICARE: JAVON LADON SMITH

MEDICARE:   JAVON LADON SMITH
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 TherapistOT-3884NV

General Provider Information

NPI Number : 1447177480
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAVON LADON SMITH
Provider Business Mailing Address
First Line : 10040 ALTA DR STE 230
Second Line :
City : LAS VEGAS
State : NV
Zip : 89145-8630
Country : US
Telephone Number : 725-726-7847
Fax Number :
Provider Business Practice Location Address
First Line : 10040 ALTA DR STE 230
Second Line :
City : LAS VEGAS
State : NV
Zip : 89145-8630
Country : US
Telephone Number : 725-726-7847
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2026
Last Update Date : 07/01/2026

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Directions to “ JAVON LADON SMITH ” Practice Location

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