Individual
JILL MIRKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7375 PRAIRIE FALCON RD STE 120, LAS VEGAS, NV 89128-0810
(702) 869-4401
Mailing address
7205 CHIC AVE, LAS VEGAS, NV 89129-5992
(702) 807-3725
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0312
NV
Other
Enumeration date
05/04/2015
Last updated
12/17/2021
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