Healthcare Provider Details

I. General information

NPI: 1871439513
Provider Name (Legal Business Name): DANIELA RUIZ-GARCIA PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 COLLEGE DR STE C
HENDERSON NV
89015-1546
US

IV. Provider business mailing address

114 QUEENSWREATH DR
NORTH LAS VEGAS NV
89031-7963
US

V. Phone/Fax

Practice location:
  • Phone: 725-254-1251
  • Fax:
Mailing address:
  • Phone: 702-787-7293
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberA-1734
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: