Healthcare Provider Details

I. General information

NPI: 1518759513
Provider Name (Legal Business Name): CHELSEY DELANO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHELSEY DELANO PTA

II. Dates (important events)

Enumeration Date: 05/19/2025
Last Update Date: 05/19/2025
Certification Date: 05/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7425 W AZURE DR STE 140
LAS VEGAS NV
89130-4425
US

IV. Provider business mailing address

7425 W AZURE DR STE 140
LAS VEGAS NV
89130-4425
US

V. Phone/Fax

Practice location:
  • Phone: 702-515-4009
  • Fax:
Mailing address:
  • Phone: 702-515-4009
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberA1757
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: