| Doctor Name: | MR. PATRICK JOSEPH BALLINGER |
| NPI Number: | 1093788259 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ATC, LAT |
| License Number: | 0506005 |
| Business Practice Address: | 3131 Las Vegas Blvd S Las Vegas, NV - 891091967 |
| Business Phone Number: | 7027703752 |
| Business Fax Number: | |
| Mailing Address: | 458 Paulson Dr, LAS VEGAS |
| State: | NV |
| Postal Code: | 891230161 |
| Phone Number: | 7028964520 |
| Fax Number: | |
| NPI Enumeration Date: | 02/08/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225500000X |
| License Number: | 0506005 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NV |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Specialist/Technologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |