MEDICARE: RACHEL MEZ

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	225X00000X	Occupational Therapist	17-0966	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	17-0966	OTHER	NV	STATE OF NEVADA BOARD OF OCCUPATIONAL THERAPY
2	392297	OTHER		NATIONAL BOARD OF OCCUPATIONAL THERAPY

General Provider Information

NPI Number	:	1700397767
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL MEZ

Provider Business Mailing Address
First Line	:	11393 RANCHO VILLA VERDE PL
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89138-1551
Country	:	US
Telephone Number	:	702-343-9787
Fax Number	:

Provider Business Practice Location Address
First Line	:	7425 W AZURE DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89130-4418
Country	:	US
Telephone Number	:	702-515-4009
Fax Number	:

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

Provider Enumeration Date	:	10/17/2017
Last Update Date	:	10/17/2017

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Directions to “ RACHEL MEZ ” Practice Location

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