NPI 1396744082 · live from the CMS NPI Registry
Henry A Banzon, P.T.
Physical Therapist in Henderson, NV. National Provider Identifier 1396744082, active.
NPI record
| NPI | 1396744082 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 10561 Jeffreys St, Suite 200, Henderson, NV 89052 |
| Practice phone | 702-407-9431 |
| Mailing address | 3602 E Sunset Rd, Suite 100, Las Vegas, NV 89120 |
| Enumerated | July 15, 2005 |
| Last updated | December 10, 2009 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | 993 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.