Individual provider · Type 1 NPI

Jacquelyn Elisalde

Rehabilitation Practitioner · Las Vegas, NV

NPI number 1023367869 Active

Practice location

3620 N. Rancho Dr. Suite 113
Las Vegas, NV 89130-9998

Call (702) 362-5181 Map

Mailing address

705 Stormcrest Ln.
Las Vegas, NV 89107-4369

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000X193450A (NV)

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1023367869

Jacquelyn Elisalde's National Provider Identifier is 1023367869, issued on Sep 7, 2012. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Las Vegas, NV. The record was last updated on Oct 4, 2012.