Individual provider · Type 1 NPI
Endeeia Shree Jackson
Rehabilitation Practitioner · Las Vegas, NV
NPI number
1154842334
Active
Practice location
5370 E Craig Rd Apt 2223
Las Vegas, NV 89115-2179
Mailing address
3097 E Warm Springs Rd Ste 400
Las Vegas, NV 89120-3757
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rehabilitation Practitioner Primary | 225400000X | 1601744335 (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 1154842334
Endeeia Shree Jackson's National Provider Identifier is 1154842334, issued on Jun 28, 2017. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Las Vegas, NV. The record was last updated on Jun 28, 2017.