MEDICARE: MYRA JUNE S VESAGAS PT

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	2073	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922267764
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MYRA JUNE S VESAGAS PT

Provider Business Mailing Address
First Line	:	P.O. BOX 26299
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89126-0299
Country	:	US
Telephone Number	:	702-893-3333
Fax Number	:	702-893-0960

Provider Business Practice Location Address
First Line	:	4275 BURNHAM AVE.
Second Line	:	SUITE 255
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-8204
Country	:	US
Telephone Number	:	702-380-1060
Fax Number	:

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

Provider Enumeration Date	:	06/06/2008
Last Update Date	:	07/10/2012

Similar Medicare Providers

1760558696 — GOOD SHEPHERD HEALTHCARE II LLC
Practice Location Address:

4275 BURNHAM AVENUE SUITE 255
LAS VEGAS, NV
89119-8204

Practice Phone: 702-893-3333
Practice Fax: 702-893-0960

1437477726 — MRS. SARAH KATHLEEN CERVANTES RN
Practice Location Address:

4275 BURNHAM AVE STE 255
LAS VEGAS, NV
89119-8204

Practice Phone: 702-380-1060
Practice Fax: 702-380-1081

1215238845 — DUCHESS MENCHAVEZ OTR/L
Practice Location Address:

4275 BURNHAM AVE STE 255
LAS VEGAS, NV
89119-8204

Practice Phone: 702-380-1060
Practice Fax: 702-380-1081

1750689113 — GOOD SHEPHERD REHABILITATIONS
Practice Location Address:

4275 BURNHAM AVE , SUITE 255
LAS VEGAS, NV
89119-8204

Practice Phone: 702-380-1060
Practice Fax:

1386933315 — GOOD SHEPHERD REHAB INC.
Practice Location Address:

4275 BURNHAM AVE STE 255
LAS VEGAS, NV
89119-8204

Practice Phone: 702-380-1060
Practice Fax: 702-380-1081

1982993911 — DEBORAH QUARZ RC
Practice Location Address:

4275 BURNHAM AVE STE 255
LAS VEGAS, NV
89119-8204

Practice Phone: 702-380-1060
Practice Fax: 702-380-1081

Directions to “ MYRA JUNE S VESAGAS PT” 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.