Organization
JACK D. CLOSE AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK DEAN CLOSE SR. M.A.P.T,FAPTA (PHYSICAL THERAPIST)
(702) 731-6873
Entity
Organization
Contact information
Practice address
7373 PEAK DR, #230, LAS VEGAS, NV 89128-9003
(702) 215-4353
(702) 215-4356
Mailing address
3650 S EASTERN AVE, #100, LAS VEGAS, NV 89109-3379
(702) 731-6873
(702) 731-2565
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
57
NV
Other
Enumeration date
08/21/2006
Last updated
05/23/2012
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