Individual provider · Type 1 NPI

Ivie Lee Samuel

Rehabilitation Practitioner · North Las Vegas, NV

NPI number 1669725594 Active

Practice location

1881 W Alexander Rd Unit 2061
North Las Vegas, NV 89032-9044

Call (702) 326-5505 Map

Mailing address

1881 W. Alexander Rd. Unit 2061
North Las Vegas, NV 89032

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 1669725594

Ivie Lee Samuel's National Provider Identifier is 1669725594, issued on Oct 16, 2012. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in North Las Vegas, NV. The record was last updated on Oct 16, 2012.