Healthcare Provider Details

I. General information

NPI: 1346038122
Provider Name (Legal Business Name): DI ZHU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2025
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8330 ROWAN RIDGE AVE
LAS VEGAS NV
89147-6228
US

IV. Provider business mailing address

8330 ROWAN RIDGE AVE
LAS VEGAS NV
89147-6228
US

V. Phone/Fax

Practice location:
  • Phone: 816-739-2201
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number6228
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: