Healthcare Provider Details

I. General information

NPI: 1922963453
Provider Name (Legal Business Name): TIFFANY ARELLANO PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 N BUFFALO DR STE 120
LAS VEGAS NV
89145-0397
US

IV. Provider business mailing address

PO BOX 632661
CINCINNATI OH
45263-2661
US

V. Phone/Fax

Practice location:
  • Phone: 702-818-5000
  • Fax: 702-818-5001
Mailing address:
  • Phone: 702-818-5000
  • Fax: 702-818-5001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: