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NPI Code Detail

MEDICARE: JASON E YUAG PT

MEDICARE: JASON E YUAG PT
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
1225100000XPhysical Therapist36382CA
2225100000XPhysical Therapist4046NV

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PENDINGOTHERCAMEDICARE PTAN

General Provider Information

NPI Number : 1366772972
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON E YUAG PT
Provider Business Mailing Address
First Line : 2550 NATURE PARK DR STE 250
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89084-3206
Country : US
Telephone Number : 702-859-4710
Fax Number :
Provider Business Practice Location Address
First Line : 2550 NATURE PARK DR STE 250
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89084-3206
Country : US
Telephone Number : 702-859-4710
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2010
Last Update Date : 12/13/2024

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Directions to “ JASON E YUAG PT” Practice Location

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