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NPI Code Detail

MEDICARE: PAUL MODEY

MEDICARE:   PAUL  MODEY
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
1225100000XPhysical Therapist30779MD
2225100000XPhysical Therapist7047NV

General Provider Information

NPI Number : 1609793637
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL MODEY
Provider Business Mailing Address
First Line : 727 N NELLIS BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89110-5384
Country : US
Telephone Number : 725-726-7847
Fax Number :
Provider Business Practice Location Address
First Line : 727 N NELLIS BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89110-5384
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 “ PAUL MODEY ” Practice Location

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