MEDICARE: DANA KRANK MS, PT, CSCS

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	2283	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1386674265	OTHER	NV	NPI
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386674265
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANA KRANK MS, PT, CSCS

Provider Business Mailing Address
First Line	:	7826 SLEEPING LILY DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89178-8283
Country	:	US
Telephone Number	:	702-476-9373
Fax Number	:	702-330-0376

Provider Business Practice Location Address
First Line	:	7815 BLUE DIAMOND RD STE 102
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89178-9348
Country	:	US
Telephone Number	:	702-476-9373
Fax Number	:	702-330-0376

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

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	09/22/2023

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