Individual provider · Type 1 NPI

Denice Marie Ichinoe, DO

Sports Medicine (Family Medicine) Physician · Las Vegas, NV

NPI number 1235766957 Active

Practice location

2724 N Tenaya Way Fl 2
Las Vegas, NV 89128-0424

Specialties and licenses

Taxonomy	Code	License
Sports Medicine (Family Medicine) Physician Primary	207QS0010X	DO3807 (NV)
Student in an Organized Health Care Education/Training Program	390200000X	None listed

Sports Medicine (Family Medicine) Physician: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomecha…

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About NPI 1235766957

Denice Marie Ichinoe, DO's National Provider Identifier is 1235766957, issued on Mar 24, 2020. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in Las Vegas, NV. The record was last updated on Jul 22, 2026.