NPI 1124686027 · live from the CMS NPI Registry
Corey Deven Ackley, PT, DPT
Physical Therapist in Las Vegas, NV. National Provider Identifier 1124686027, active.
NPI record
| NPI | 1124686027 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 2650 N Tenaya Way Ste 180, Las Vegas, NV 89128 |
| Practice phone | 702-240-2952 |
| Mailing address | 10531 Brownsville Ave, Las Vegas, NV 89129 |
| Enumerated | June 5, 2019 |
| Last updated | June 5, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | 4026 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.