Organization
DEBBIE TILTON OTRL INC
Active
Other names
Tiltons Therapy For Tots
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNA YATES (BILLING MANAGER)
(702) 655-2455
Entity
Organization
Contact information
Practice address
11091 KILKERRAN CT, LAS VEGAS, NV 89141-4356
(702) 381-1839
Mailing address
11091 KILKERRAN CT, LAS VEGAS, NV 89141-4356
(702) 381-1839
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
0127
NV
225XM0800X
Mental Health Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003402253
—
NV
01
—
100508344
MEDICAID GROUP #
NV
Enumeration date
02/14/2007
Last updated
09/24/2025
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