Healthcare Provider Details

I. General information

NPI: 1629588546
Provider Name (Legal Business Name): QUALITY LIFE THERAPY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2017
Last Update Date: 09/12/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2465 REYNOLDS AVE STE 201
NORTH LAS VEGAS NV
89030-7296
US

IV. Provider business mailing address

2465 REYNOLDS AVE STE 201
NORTH LAS VEGAS NV
89030-7296
US

V. Phone/Fax

Practice location:
  • Phone: 702-203-1066
  • Fax: 866-936-1787
Mailing address:
  • Phone: 702-245-6375
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. LANCE A JONES
Title or Position: PRESIDENT/OT/PT
Credential: DOCTOR OF PT
Phone: 702-245-6375