MEDICARE: EMILY WILLIS-ALMAGUER

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	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1760834410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY WILLIS-ALMAGUER

Provider Business Mailing Address
First Line	:	7488 MARGOLLINI ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-2671
Country	:	US
Telephone Number	:	702-408-8795
Fax Number	:

Provider Business Practice Location Address
First Line	:	4525 S SANDHILL RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-5954
Country	:	US
Telephone Number	:	702-741-1938
Fax Number	:

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

Provider Enumeration Date	:	07/06/2016
Last Update Date	:	07/06/2016

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Directions to “ EMILY WILLIS-ALMAGUER ” Practice Location

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