Doctor Name: | SHINY A MOOLAKATT |
NPI Number: | 1235496050 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 0639 |
Business Practice Address: | 10561 Jeffreys St Suite 200 Henderson, NV - 890524266 |
Business Phone Number: | 7024079431 |
Business Fax Number: | 7024079461 |
Mailing Address: | 3602 E Sunset Rd, Suite 100 LAS VEGAS |
State: | NV |
Postal Code: | 891207230 |
Phone Number: | 7029324308 |
Fax Number: | 7028378930 |
NPI Enumeration Date: | 04/18/2012 |
NPI Last Update Date: | 04/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 0639 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
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 |