NPI 1164524625 · live from the CMS NPI Registry
Richard L Bales, PT
Physical Therapist in Las Vegas, NV. National Provider Identifier 1164524625, active.
NPI record
| NPI | 1164524625 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 2110 E Flamingo Rd Ste 314, Las Vegas, NV 89119 |
| Practice phone | 702-947-5200 |
| Mailing address | 2421 Goldfire Cir, Henderson, NV 89052 |
| Enumerated | September 3, 2006 |
| Last updated | October 24, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | 252 (NV) |
| Physical Therapist primary | 225100000X | 0252 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.