MEDICARE: JOHN WIL BRYAN APOSTOL

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
1	225100000X	Physical Therapist	4660	NV

General Provider Information

NPI Number	:	1033886098
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN WIL BRYAN APOSTOL

Provider Business Mailing Address
First Line	:	3900 PARADISE RD STE V
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-0930
Country	:	US
Telephone Number	:	702-369-0560
Fax Number	:

Provider Business Practice Location Address
First Line	:	3900 PARADISE RD STE V
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-0930
Country	:	US
Telephone Number	:	702-369-0560
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2021
Last Update Date	:	11/07/2022

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Directions to “ JOHN WIL BRYAN APOSTOL ” Practice Location

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