MEDICARE: DANIELA RUIZ-GARCIA PTA

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	225200000X	Physical Therapy Assistant	A-1734	NV

General Provider Information

NPI Number	:	1871439513
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELA RUIZ-GARCIA PTA

Provider Business Mailing Address
First Line	:	114 QUEENSWREATH DR
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-7963
Country	:	US
Telephone Number	:	702-787-7293
Fax Number	:

Provider Business Practice Location Address
First Line	:	555 COLLEGE DR STE C
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89015-1546
Country	:	US
Telephone Number	:	725-254-1251
Fax Number	:

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

Provider Enumeration Date	:	04/27/2026
Last Update Date	:	04/27/2026

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