MEDICARE: ALEXIS OLSON

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	225400000X	Rehabilitation Practitioner
2	163W00000X	Registered Nurse	880914	NV

General Provider Information

NPI Number	:	1316247349
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXIS OLSON

Provider Business Mailing Address
First Line	:	480 GALLETTI WAY BLDG 8N
Second Line	:
City	:	SPARKS
State	:	NV
Zip	:	89431-5564
Country	:	US
Telephone Number	:	775-688-2653
Fax Number	:

Provider Business Practice Location Address
First Line	:	10345 PROFESSIONAL CIR STE 125
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89521-3100
Country	:	US
Telephone Number	:	775-348-7300
Fax Number	:

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

Provider Enumeration Date	:	10/25/2010
Last Update Date	:	01/07/2025

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Directions to “ ALEXIS OLSON ” Practice Location

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