Healthcare Provider Details

I. General information

NPI: 1295203099
Provider Name (Legal Business Name): EMILY J ESTES PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2018
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4878 SPARKS BLVD STE 102
SPARKS NV
89436-8150
US

IV. Provider business mailing address

3840 W ANN RD STE 101B
NORTH LAS VEGAS NV
89031-4404
US

V. Phone/Fax

Practice location:
  • Phone: 775-507-4084
  • Fax: 775-432-0500
Mailing address:
  • Phone: 702-660-2694
  • Fax: 702-750-1372

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: