Individual provider · Type 1 NPI

Jericho J.r. Samatra, BA

Rehabilitation Practitioner · Las Vegas, NV

NPI number 1124836564 Active

Practice location

4285 N Rancho Dr Ste 130
Las Vegas, NV 89130-3455

Call (702) 385-5331 Map

Mailing address

10100 Elida Rd
Delphos, OH 45833-9056

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Counselor 101Y00000XCI5834 (NV)
Rehabilitation Practitioner Primary 225400000XNone listed

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 1124836564

Jericho J.r. Samatra, BA's National Provider Identifier is 1124836564, issued on Dec 18, 2024. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Las Vegas, NV. The record was last updated on Sep 14, 2026.