NPI 1730747379 · live from the CMS NPI Registry
Quintez Dwayne Anderson, DPT
Physical Therapist in Las Vegas, NV. National Provider Identifier 1730747379, active.
NPI record
| NPI | 1730747379 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 8751 W Charleston Blvd Ste 270, Las Vegas, NV 89117 |
| Practice phone | 702-982-2232 |
| Mailing address | 8205 W Warm Springs Rd Ste 250, Las Vegas, NV 89113 |
| Enumerated | May 29, 2019 |
| Last updated | April 9, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | 4042 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.