NPI 1871226159 · live from the CMS NPI Registry
Antonio Basilio Maligaya Bandales
Physical Therapist in Las Vegas, NV. National Provider Identifier 1871226159, active.
NPI record
| NPI | 1871226159 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 5515 S. Durango Dr. Ste 120, Las Vegas, NV 89113 |
| Practice phone | 702-869-4401 |
| Mailing address | 6535 Austin Hope Ave, Las Vegas, NV 89118 |
| Enumerated | July 5, 2022 |
| Last updated | July 8, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | 4830 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.