Doctor Name: | EDWARD JIMENEZ |
NPI Number: | 1174632764 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 2650 N Tenaya Way #180 Las Vegas, NV - 891281102 |
Business Phone Number: | 7029523653 |
Business Fax Number: | |
Mailing Address: | 6129 Thorndike Ct, LAS VEGAS |
State: | NV |
Postal Code: | 891301383 |
Phone Number: | 7028390112 |
Fax Number: | |
NPI Enumeration Date: | 08/29/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |