MEDICARE: KEITH BALDONADO

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	225200000X	Physical Therapy Assistant	A-0473	NV

General Provider Information

NPI Number	:	1972896132
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEITH BALDONADO

Provider Business Mailing Address
First Line	:	2116 MOUNTAIN GLOW AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-4377
Country	:	US
Telephone Number	:	702-321-6344
Fax Number	:

Provider Business Practice Location Address
First Line	:	2116 MOUNTAIN GLOW AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-4377
Country	:	US
Telephone Number	:	702-321-6344
Fax Number	:

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

Provider Enumeration Date	:	05/20/2011
Last Update Date	:	05/20/2011

Similar Medicare Providers

1396866075 — DR. DAVID HUAN NGOC TRAN DDS
Practice Location Address:

10540 SOUTHERN HIGHLANDS PKWY , SUITE 100
LAS VEGAS, NV
89141-4377

Practice Phone: 702-870-8726
Practice Fax: 702-870-8728

1871387993 — ELIZABETH R AGATI
Practice Location Address:

6766 PALJAY CT
LAS VEGAS, NV
89103-4377

Practice Phone: 702-682-9708
Practice Fax:

1649160342 — CHERISHING LIVES HOME HEALTH LLC
Practice Location Address:

5975 CASTLE CREEK PARKWAY NORTH DR STE 440
INDIANAPOLIS, IN
46250-4377

Practice Phone: 317-871-4511
Practice Fax: 317-871-4511

1548645211 — SUSANA YOUNG
Practice Location Address:

3920 W ANN RD STE 100
NORTH LAS VEGAS, NV
89031-3840

Practice Phone: 805-345-1425
Practice Fax:

1821928003 — REBEKAH JACKSON
Practice Location Address:

5120 CAMINO DEL SANTO PKWY
NORTH LAS VEGAS, NV
89031-1006

Practice Phone: 702-717-2740
Practice Fax:

1679403224 — TIMENA WILSON
Practice Location Address:

2517 LAKE MARTIN CT
NORTH LAS VEGAS, NV
89031-4306

Practice Phone: 707-980-9485
Practice Fax:

Directions to “ KEITH BALDONADO ” 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.