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NPI Code Detail

MEDICARE: WILLIAM HENRY VENA PT

MEDICARE:   WILLIAM HENRY VENA  PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist1058NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033229919
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM HENRY VENA PT
Provider Business Mailing Address
First Line : 4000 S EASTERN AVE STE 150
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-0840
Country : US
Telephone Number : 725-726-7847
Fax Number : 725-726-7876
Provider Business Practice Location Address
First Line : 4000 S EASTERN AVE STE 150
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-0840
Country : US
Telephone Number : 725-726-7847
Fax Number : 725-726-7876
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 09/13/2024

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Directions to “ WILLIAM HENRY VENA PT” Practice Location

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