NPI 1487485595 · live from the CMS NPI Registry
Enobong Tarela Archibong, DPT
Physical Therapist in Las Vegas, NV. National Provider Identifier 1487485595, active.
NPI record
| NPI | 1487485595 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 |
| Enumerated | August 10, 2024 |
| Last updated | September 17, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | 6515 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.