MEDICARE: MRS. KATHRYN LYNN CREASY BA

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

General Provider Information

NPI Number	:	1487957361
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATHRYN LYNN CREASY BA

Provider Business Mailing Address
First Line	:	3448 CANTER DR
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-2404
Country	:	US
Telephone Number	:	970-623-5167
Fax Number	:

Provider Business Practice Location Address
First Line	:	3448 CANTER DR
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-2404
Country	:	US
Telephone Number	:	970-623-5167
Fax Number	:

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

Provider Enumeration Date	:	12/14/2010
Last Update Date	:	12/14/2010

Similar Medicare Providers

1548760473 — EVELYN MANASALA GALLARDO
Practice Location Address:

2404 GALA HAVEN CT
NORTH LAS VEGAS, NV
89032-1438

Practice Phone: 702-240-3800
Practice Fax:

1477989168 — MR. JON-GLEN ALLAN BROWN PA
Practice Location Address:

2404 MOUNTAIN RAIL DR
NORTH LAS VEGAS, NV
89084-3128

Practice Phone: 210-560-7870
Practice Fax:

1336757814 — DAVID PAUL KAUFFMAN
Practice Location Address:

2404 EVENING SNOW CT
NORTH LAS VEGAS, NV
89030-4726

Practice Phone: 602-684-1366
Practice Fax:

1174648935 — MR. TIMOTHY BRIAN SODER MSPT
Practice Location Address:

6440 MEDICAL CENTER ST , #100
LAS VEGAS, NV
89148-2404

Practice Phone: 702-222-1000
Practice Fax: 702-222-9448

1881710192 — EXECUTIVE FITNESS INC
Practice Location Address:

6440 MEDICAL CENTER ST , SUITE 100
LAS VEGAS, NV
89148-2404

Practice Phone: 702-222-1000
Practice Fax: 702-222-9448

1992951610 — MR. MATTHEW GREENBERG DPT
Practice Location Address:

6440 MEDICAL CENTER ST STE 100
LAS VEGAS, NV
89148-2404

Practice Phone: 702-222-1000
Practice Fax: 702-222-9448

Directions to “ MRS. KATHRYN LYNN CREASY BA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.