Individual
DR. MARK RIZKALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1815 E LAKE MEAD BLVD STE 200, N LAS VEGAS, NV 89030-7189
(702) 685-0440
(702) 974-6717
Mailing address
600 S TONOPAH DR STE 350, LAS VEGAS, NV 89106-4040
(702) 384-6330
(702) 384-2668
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3466
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102355478
—
NV
Enumeration date
01/19/2017
Last updated
01/22/2019
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