MEDICARE: ARNEL V GASPAR MPT

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	225100000X	Physical Therapist	1978	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508812306
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARNEL V GASPAR MPT

Provider Business Mailing Address
First Line	:	9421 HIDDEN CAVE CT.
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89149
Country	:	US
Telephone Number	:	702-882-9727
Fax Number	:

Provider Business Practice Location Address
First Line	:	2851 N TENAYA WAY
Second Line	:	STE 205
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0453
Country	:	US
Telephone Number	:	702-655-9456
Fax Number	:	702-655-9594

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

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	11/15/2007

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