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NPI Code Detail

MEDICARE: TINA DAY

MEDICARE:   TINA  DAY
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
1225400000XRehabilitation PractitionerNV

General Provider Information

NPI Number : 1811389026
Entity Type Code : Individual
Provider Name (Legal Business Name) : TINA DAY
Provider Business Mailing Address
First Line : 6428 SIERRA DIABLO AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-1870
Country : US
Telephone Number : 616-881-7968
Fax Number :
Provider Business Practice Location Address
First Line : 6428 SIERRA DIABLO AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-1870
Country : US
Telephone Number : 616-881-7968
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2015
Last Update Date : 02/25/2015

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Directions to “ TINA DAY ” Practice Location

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