Individual
DAVID KELLEY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2821 W HORIZON RIDGE PKWY.,, STE #101, HENDERSON, NV 89052
(702) 893-3333
(702) 413-7775
Mailing address
2821 W HORIZON RIDGE PKWY.,, STE #101, HENDERSON, NV 89052
(702) 893-3333
(702) 413-7775
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4606
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1702161
—
NV
Enumeration date
07/13/2021
Last updated
01/30/2025
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