MEDICARE: DR. JEFFREY L WEBB D.C., DPT

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	2251X0800X	Orthopedic Physical Therapist	3001	NV
2	111N00000X	Chiropractor	B00424	NV

General Provider Information

NPI Number	:	1053529347
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY L WEBB D.C., DPT

Provider Business Mailing Address
First Line	:	4616 W SAHARA AVE # 337
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-3654
Country	:	US
Telephone Number	:	702-880-4193
Fax Number	:

Provider Business Practice Location Address
First Line	:	1928 E SAHARA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-3843
Country	:	US
Telephone Number	:	702-457-4727
Fax Number	:	702-457-7083

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

Provider Enumeration Date	:	05/18/2007
Last Update Date	:	09/28/2020

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