Healthcare Provider Details

I. General information

NPI: 1356263867
Provider Name (Legal Business Name): NEXA PHYSICAL THERAPY AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10257 TUMBAGA ST
LAS VEGAS NV
89183-7624
US

IV. Provider business mailing address

10257 TUMBAGA ST
LAS VEGAS NV
89183-7624
US

V. Phone/Fax

Practice location:
  • Phone: 702-596-2168
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NANEA LAGASCA
Title or Position: CO-OWNER
Credential: PT, DPT
Phone: 702-278-8949