Individual
JASON REED VADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5351 MONTESSOURI ST, LAS VEGAS, NV 89113-1126
(702) 251-2200
Mailing address
10947 GREAT SIOUX RD, LAS VEGAS, NV 89179-2069
(702) 715-4928
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1043
NV
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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