MEDICARE: SUSAN PRIESTMAN

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0807	OTHER	NV	LICENSE #

General Provider Information

NPI Number	:	1699885335
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN PRIESTMAN

Provider Business Mailing Address
First Line	:	6575 N TIOGA WAY
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89131-3539
Country	:	US
Telephone Number	:	702-373-6936
Fax Number	:

Provider Business Practice Location Address
First Line	:	4080 N MARTIN L KING BLVD
Second Line	:	SUITE 101A
City	:	N LAS VEGAS
State	:	NV
Zip	:	89032-3216
Country	:	US
Telephone Number	:	702-308-2998
Fax Number	:

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

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	11/07/2012

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1568798874 — STEVEN DELISLE DDS P.C.
Practice Location Address:

4080 N MARTIN L KING BLVD , SUITE 101 B
N LAS VEGAS, NV
89032-3216

Practice Phone: 425-306-2579
Practice Fax: 888-583-4140

1700200672 — MR. TOLUPENI ADILIE SALIMA JR.
Practice Location Address:

4080 N MARTIN L KING BLVD , SUITE 101A
NORTH LAS VEGAS, NV
89032-3216

Practice Phone: 702-360-9142
Practice Fax:

1275201188 — SONG HA NGUYEN
Practice Location Address:

4080 N MLK BLVD
NORTH LAS VEGAS, NV
89032-3216

Practice Phone: 702-903-2127
Practice Fax:

1225969694 — JOETTA POPE
Practice Location Address:

6166 S SANDHILL RD STE 120
LAS VEGAS, NV
89120-3216

Practice Phone: 702-344-6862
Practice Fax:

1124460381 — RICARDO BECERRA
Practice Location Address:

3216 W CHARLESTON BLVD , SUITE A
LAS VEGAS, NV
89102-2044

Practice Phone: 702-544-4172
Practice Fax:

Directions to “ SUSAN PRIESTMAN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.