Individual
DR. JONATHAN BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4000 S EASTERN AVE STE 150, LAS VEGAS, NV 89119-0840
(725) 726-7847
Mailing address
6631 CREEPING THYME ST, LAS VEGAS, NV 89148-4801
(775) 742-7133
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6522
NV
Other
Enumeration date
08/08/2024
Last updated
08/12/2024
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