Doctor Name: | ELISHA HARRIS |
NPI Number: | 1568755387 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | BA |
License Number: | |
Business Practice Address: | 895 Roberta Lane Suite 101 Sparks, NV - 894316810 |
Business Phone Number: | 7753316252 |
Business Fax Number: | 7753316250 |
Mailing Address: | 895 Roberta Lane, Suite 101 SPARKS |
State: | NV |
Postal Code: | 894316810 |
Phone Number: | 7753316252 |
Fax Number: | 7753316250 |
NPI Enumeration Date: | 05/26/2011 |
NPI Last Update Date: | 05/26/2011 |
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. |