Doctor Name: | MARK R MATEJA |
NPI Number: | 1346432309 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT/PT |
License Number: | 2154 |
Business Practice Address: | 3155 W Craig Rd Suite 140 North Las Vegas, NV - 890320782 |
Business Phone Number: | 7026392333 |
Business Fax Number: | 7026392334 |
Mailing Address: | 7301 Peak Dr, #150 LAS VEGAS |
State: | NV |
Postal Code: | 891289037 |
Phone Number: | 7022569738 |
Fax Number: | 7022425629 |
NPI Enumeration Date: | 08/14/2007 |
NPI Last Update Date: | 08/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2154 |
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 |