Individual
JESSICA MARIE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
850 LA SCONSA DR, LAS VEGAS, NV 89138-7562
(702) 526-5550
(702) 347-7649
Mailing address
850 LA SCONSA DR, LAS VEGAS, NV 89138-7562
(702) 526-5550
(702) 347-7649
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4077
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4077
ST OF NEVADA PHYSICAL THERAPY LICENSE
NV
Enumeration date
09/16/2019
Last updated
03/27/2025
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