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NPI 1114665452 · live from the CMS NPI Registry

Bernardo Anderson

Physical Therapist in Las Vegas, NV. National Provider Identifier 1114665452, active.

NPI record

NPI1114665452 Type 1 · individual
StatusActive
Primary specialtyPhysical Therapist 225100000X
Practice location5228 Koa Ave, Las Vegas, NV 89122
Practice phone702-423-8998
EnumeratedMay 26, 2022
Last updatedJune 22, 2024
Sole proprietorNo
Other namesBernardo Almadin-Anderson

Taxonomies and licenses

TaxonomyCodeLicense
Physical Therapist225100000X24975 (MD)
Physical Therapist225100000X13213002-2401 (UT)
Physical Therapist primary225100000X5072 (NV)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.