MEDICARE: NANCY SILVA PT, 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	225100000X	Physical Therapist	1219849	TX

General Provider Information

NPI Number	:	1093065492
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY SILVA PT, DPT

Provider Business Mailing Address
First Line	:	18511 HIGHLANDER MEDICS ST
Second Line	:
City	:	FORT BLISS
State	:	TX
Zip	:	79906-5327
Country	:	US
Telephone Number	:	915-742-4517
Fax Number	:

Provider Business Practice Location Address
First Line	:	2496 RICKER ROAD
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79916
Country	:	US
Telephone Number	:	915-742-4517
Fax Number	:

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

Provider Enumeration Date	:	09/12/2012
Last Update Date	:	11/30/2023

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