Tia Monique Deloatch
Rehabilitation Practitioner
5615 S Pecos Rd
Las Vegas
, Nevada 89120-1961
Tia Monique Deloatch
Rehabilitation Practitioner
5615 S Pecos Rd
Las Vegas
, Nevada 89120-1961
(702) 736-8100
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About
Features
Specialties
- Rehabilitation Practitioner
Languages spoken
- English
Location
First Address
- Tia Monique Deloatch
- 5615 S Pecos Rd
- Las Vegas, NV
- Zip : 89120-1961
- Phone : (702) 736-8100
Second Address
- Tia Monique Deloatch
- 5615 S Pecos Rd
- Las Vegas, NV
- Zip : 89120-1961
- Phone : (702) 736-8100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner |
National Provider Identifier
| NPI | 1053760298 |
|---|---|
| Provider Name | Tia Monique Deloatch |
| First Address | Las Vegas, NV 89120-1961 |
| Second Address | Las Vegas, NV 89120-1961 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/06/2016 |
| Last Update Date | 08/06/2016 |
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.