Healthcare Provider Details

I. General information

NPI: 1740231224
Provider Name (Legal Business Name): TRU PHYSICAL THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 12/20/2022
Certification Date: 12/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 E HORIZON RIDGE PKWY #180
HENDERSON NV
89015-7935
US

IV. Provider business mailing address

70 E HORIZON RIDGE PKWY #180
HENDERSON NV
89015-7935
US

V. Phone/Fax

Practice location:
  • Phone: 702-856-0422
  • Fax: 702-433-0425
Mailing address:
  • Phone: 702-856-0422
  • Fax: 702-433-0425

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number134706
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. CHRISTOPHER PAUL EVANS
Title or Position: OWNER
Credential: MPT
Phone: 702-856-0422