NPI 1669968012 · live from the CMS NPI Registry
Anngie May Axalan, PT
Physical Therapist in Las Vegas, NV. National Provider Identifier 1669968012, active.
NPI record
| NPI | 1669968012 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 7060 N Durango Dr Ste 130, Las Vegas, NV 89149 |
| Practice phone | 702-826-5749 |
| Mailing address | 790 Remington Blvd, Bolingbrook, IL 60440 |
| Enumerated | July 9, 2018 |
| Last updated | February 18, 2024 |
| Sole proprietor | No |
| Other names | Anngie May Enriquez |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | 5501013950 (MI) |
| Physical Therapist primary | 225100000X | — (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.