MEDICARE: MRS. GERI ANN SOKELL P.T.

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	4379	OH
2	225100000X	Physical Therapist	7932	TN
3	225100000X	Physical Therapist	3495	NV

General Provider Information

NPI Number	:	1265409593
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. GERI ANN SOKELL P.T.

Provider Business Mailing Address
First Line	:	600 S TONOPAH DR STE 350
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-4040
Country	:	US
Telephone Number	:	702-384-6330
Fax Number	:	702-384-2668

Provider Business Practice Location Address
First Line	:	3050 E BONANZA RD STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89101-3703
Country	:	US
Telephone Number	:	702-685-0440
Fax Number	:	702-974-6717

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

Provider Enumeration Date	:	03/06/2006
Last Update Date	:	07/21/2022

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