MEDICARE: JOSEPH ANDERS DPT

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	2583	NV

General Provider Information

NPI Number	:	1790072866
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH ANDERS DPT

Provider Business Mailing Address
First Line	:	2690 DEER SPRINGS WY
Second Line	:	104
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89084-5821
Country	:	US
Telephone Number	:	702-448-5155
Fax Number	:	702-444-2485

Provider Business Practice Location Address
First Line	:	2690 DEER SPRINGS WY
Second Line	:	104
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89084-5821
Country	:	US
Telephone Number	:	702-448-5155
Fax Number	:	702-444-2485

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

Provider Enumeration Date	:	07/08/2011
Last Update Date	:	07/21/2022

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Directions to “ JOSEPH ANDERS DPT” Practice Location

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