Individual
COLTON CARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
600 S TONOPAH DR STE 230, LAS VEGAS, NV 89106-4042
(801) 623-0596
Mailing address
314 SUNWARD DR, HENDERSON, NV 89014-7624
(801) 623-0596
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4365
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4365
DPT LICENSE
NV
Enumeration date
08/28/2020
Last updated
08/28/2020
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