Doctor Name: | JENNIFER PARKER |
NPI Number: | 1003151176 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 4107 W Cheyenne Ave Ste 101 North Las Vegas, NV - 890323476 |
Business Phone Number: | 7026394400 |
Business Fax Number: | |
Mailing Address: | 4107 W Cheyenne Ave Ste 101, NORTH LAS VEGAS |
State: | NV |
Postal Code: | 890323476 |
Phone Number: | 7026394400 |
Fax Number: | |
NPI Enumeration Date: | 11/30/2012 |
NPI Last Update Date: | 11/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Rehabilitation Practitioner |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |