MEDICARE: ASTRID NICOLE CLEMMONS OTR/L

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	225XP0200X	Pediatric Occupational Therapist	09-0087	NV

General Provider Information

NPI Number	:	1134353246
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASTRID NICOLE CLEMMONS OTR/L

Provider Business Mailing Address
First Line	:	1824 GHOST TRACE AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89183-6845
Country	:	US
Telephone Number	:	702-722-4476
Fax Number	:

Provider Business Practice Location Address
First Line	:	1824 GHOST TRACE AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89183-6845
Country	:	US
Telephone Number	:	702-722-4476
Fax Number	:

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

Provider Enumeration Date	:	05/05/2009
Last Update Date	:	05/05/2009

Similar Medicare Providers

1235388257 — FAITH HOME HEALTH CARE LLC
Practice Location Address:

6845 W CHARLESTON BLVD STE B
LAS VEGAS, NV
89117-1647

Practice Phone: 702-474-9007
Practice Fax: 702-474-9028

1881016871 — SHANTE MCDONALD
Practice Location Address:

2313 MOUNT HOLLY CT
LAS VEGAS, NV
89128-6845

Practice Phone: 702-982-9935
Practice Fax:

1669894168 — STEPHANIE CROCKROM
Practice Location Address:

3716 WARMBREEZE WAY
LAS VEGAS, NV
89129-6845

Practice Phone: 702-813-6748
Practice Fax:

1033984083 — FULL CIRCLE INTEGRATED HEALTH SOLUTIONS LLC
Practice Location Address:

930 S 4TH ST STE 209
LAS VEGAS, NV
89101-6845

Practice Phone: 760-583-2285
Practice Fax:

1063288686 — KETAMINAMD LLC
Practice Location Address:

930 S 4TH ST STE 209
LAS VEGAS, NV
89101-6845

Practice Phone: 929-494-1182
Practice Fax: 929-494-1182

1033985650 — HORMONEMD LLC
Practice Location Address:

930 S 4TH ST STE 209
LAS VEGAS, NV
89101-6845

Practice Phone: 929-282-4422
Practice Fax: 929-282-4422

Directions to “ ASTRID NICOLE CLEMMONS OTR/L” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.