Individual
KEVIN MAGDAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5955 EDMOND ST, LAS VEGAS, NV 89118-2856
(866) 839-6979
Mailing address
PO BOX 2350, ROCKLIN, CA 95677-8350
(866) 839-6979
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
301681
CA
225100000X
Physical Therapist
Primary
4779
NV
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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