MEDICARE: TALABIS PHYSICAL THERAPY SERVICES, INC

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

General Provider Information

NPI Number	:	1790300184
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TALABIS PHYSICAL THERAPY SERVICES, INC

Provider Business Mailing Address
First Line	:	9224 THUNDER FALLS CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-1673
Country	:	US
Telephone Number	:	702-480-2788
Fax Number	:

Provider Business Practice Location Address
First Line	:	9224 THUNDER FALLS CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-1673
Country	:	US
Telephone Number	:	702-480-2788
Fax Number	:

Authorized Official
Title or Position	:	VICE-PRESIDENT
Name	:	MRS. HANNELORE TALABIS
Credential	:	PT
Telephone Number	:	702-480-2788

Provider Enumeration Date	:	06/11/2020
Last Update Date	:	06/11/2020

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