Healthcare Provider Details

I. General information

NPI: 1386537462
Provider Name (Legal Business Name): TAMER ATIEH DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2025
Last Update Date: 05/29/2025
Certification Date: 05/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2779 W HORIZON RIDGE PKWY STE 210
HENDERSON NV
89052-4186
US

IV. Provider business mailing address

2779 W HORIZON RIDGE PKWY STE 210
HENDERSON NV
89052-4186
US

V. Phone/Fax

Practice location:
  • Phone: 702-948-2520
  • Fax: 702-948-2523
Mailing address:
  • Phone: 702-948-2520
  • Fax: 702-948-2523

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberB02089
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: