Jessica Rae Blackwell
Kinesiotherapist
6900 Pecos Rd
North Las Vegas
, Nevada 89086-4400
Jessica Rae Blackwell
Kinesiotherapist
6900 Pecos Rd
North Las Vegas
, Nevada 89086-4400
(702) 791-9000
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About
Features
Specialties
- Kinesiotherapist
Languages spoken
- English
Location
First Address
- Jessica Rae Blackwell
- 6900 Pecos Rd
- North Las Vegas, NV
- Zip : 89086-4400
- Phone : (702) 791-9000
Second Address
- Jessica Rae Blackwell
- 6900 Pecos Rd
- North Las Vegas, NV
- Zip : 89086-4400
- Phone : (702) 791-9000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 226300000X | Kinesiotherapist |
National Provider Identifier
| NPI | 1215304514 |
|---|---|
| Provider Name | Jessica Rae Blackwell |
| First Address | North Las Vegas, NV 89086-4400 |
| Second Address | North Las Vegas, NV 89086-4400 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/08/2015 |
| Last Update Date | 21/08/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.