Individual provider · Type 1 NPI

Keonta Delshawn Scruggs

Rehabilitation Practitioner · Las Vegas, NV

NPI number 1659793586 Active

Practice location

6889 S Eastern Ave
Las Vegas, NV 89119-4687

Mailing address

6573 Horseshoe Bar Ln, APT#103
Henderson, NV 89011-1435

Specialties and licenses

TaxonomyCodeLicense
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 1659793586

Keonta Delshawn Scruggs's National Provider Identifier is 1659793586, issued on Jan 12, 2014. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Las Vegas, NV. The record was last updated on Jan 12, 2014.