Individual provider · NPI-1

Jerald Abello

Physical Therapist · Las Vegas, NV

NPI number1174308712
StatusActive
Last updated in NPPESOct 2, 2023

Details

NPI
1174308712
Entity type
Individual (NPI-1)
Name
Jerald Abello
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 30, 2023
Certification date
Oct 2, 2023
Last updated
Oct 2, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist4765NVYes

Other names

  • Jed Abello (Other Name)

Practice location

657 N Town Center Dr
Las Vegas, NV 89144-6367

Phone 702-233-7000

Mailing address

657 N Town Center Dr
Las Vegas, NV 89144-6367

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