MEDICARE: MS. DEBRA MICHNAL

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	225XP0200X	Pediatric Occupational Therapist	0157	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871645937
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DEBRA MICHNAL

Provider Business Mailing Address
First Line	:	3030 S JONES BLVD
Second Line	:	SUITE 105
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-6792
Country	:	US
Telephone Number	:	702-360-1137
Fax Number	:	702-341-1511

Provider Business Practice Location Address
First Line	:	3030 S JONES BLVD
Second Line	:	SUITE 105
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-6792
Country	:	US
Telephone Number	:	702-360-1137
Fax Number	:	702-341-1511

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

Provider Enumeration Date	:	01/17/2007
Last Update Date	:	07/30/2009

Similar Medicare Providers

1003887241 — MRS. JENNIFER C TRAVERS OTR/L
Practice Location Address:

3030 S JONES BLVD , SUITE 105
LAS VEGAS, NV
89146-6792

Practice Phone: 702-360-1137
Practice Fax: 702-341-1511

1932204120 — ERIKA R WEISS MOT, OTR/L
Practice Location Address:

3030 S JONES BLVD
LAS VEGAS, NV
89146-6792

Practice Phone: 954-243-3290
Practice Fax:

1407904816 — MS. CAROL H ALOUPIS MS PT
Practice Location Address:

3030 S JONES BLVD , STE. 105
LAS VEGAS, NV
89146-6792

Practice Phone: 702-360-1137
Practice Fax:

1477729333 — MRS. JANET CAROL WILLOUGHBY MS OTRL
Practice Location Address:

3030 S JONES BLVD
LAS VEGAS, NV
89146-6792

Practice Phone: 702-360-1137
Practice Fax: 702-341-1511

1770895617 — LAURA ANNE BYOUS PT, DPT
Practice Location Address:

3030 S JONES BLVD , SUITE 105
LAS VEGAS, NV
89146-6792

Practice Phone: 702-360-1137
Practice Fax: 702-341-1511

1568768794 — CALI MARIE KLIMKE PT, MPT
Practice Location Address:

3030 S JONES BLVD , SUTIE 105
LAS VEGAS, NV
89146-6792

Practice Phone: 702-360-1137
Practice Fax:

Directions to “ MS. DEBRA MICHNAL ” 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.