MEDICARE: TREY JACKSON

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	225C00000X	Rehabilitation Counselor

General Provider Information

NPI Number	:	1518451491
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TREY JACKSON

Provider Business Mailing Address
First Line	:	2950 E FLAMINGO RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-5209
Country	:	US
Telephone Number	:	702-586-9674
Fax Number	:

Provider Business Practice Location Address
First Line	:	2451 N RAINBOW BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-4502
Country	:	US
Telephone Number	:	404-710-4839
Fax Number	:

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

Provider Enumeration Date	:	06/14/2018
Last Update Date	:	06/14/2018

Similar Medicare Providers

1568532356 — MT MEDICAL SUPPLIES
Practice Location Address:

2451 N RAINBOW BLVD , UNIT 1097
LAS VEGAS, NV
89108-4502

Practice Phone: 702-396-8423
Practice Fax:

1518393032 — ASSERTIVE HEALTH CARE SERVICES
Practice Location Address:

2451 N RAINBOW BLVD , APT# 2078
LAS VEGAS, NV
89108-4502

Practice Phone: 702-302-1105
Practice Fax: 702-202-6551

1083769350 — MS. MARY ADELAIDE SIMPSON M.S.CCC-SLP
Practice Location Address:

615 E LINCOLN ST
LAS VEGAS, NM
87701-4502

Practice Phone: 505-426-8095
Practice Fax: 505-426-8095

1790831675 — MR. WILLIAM R LINZIE M.S.CCC-SLP
Practice Location Address:

615 E LINCOLN ST
LAS VEGAS, NM
87701-4502

Practice Phone: 505-426-8095
Practice Fax: 505-426-8095

1093850240 — MS. PATRIA THOMAS L.P.C.C.
Practice Location Address:

615 E LINCOLN ST
LAS VEGAS, NM
87701-4502

Practice Phone: 505-426-8095
Practice Fax: 505-426-8095

1639214059 — RAINBOW ROAD THERAPIES, INC.
Practice Location Address:

615 E LINCOLN ST
LAS VEGAS, NM
87701-4502

Practice Phone: 505-426-8095
Practice Fax: 505-426-8095

Directions to “ TREY JACKSON ” 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.