MEDICARE: LUKE MONSANTO NERIA

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	225200000X	Physical Therapy Assistant	A1554	NV

General Provider Information

NPI Number	:	1386514727
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUKE MONSANTO NERIA

Provider Business Mailing Address
First Line	:	4233 W LANDBERG AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89141-8948
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	660 S MARTIN LUTHER KING BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-4413
Country	:	US
Telephone Number	:	702-382-5580
Fax Number	:

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

Provider Enumeration Date	:	11/10/2025
Last Update Date	:	11/10/2025

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Directions to “ LUKE MONSANTO NERIA ” Practice Location

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