Individual
JACOB ROLAND BEVELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2550 NATURE PARK DR STE 250, NORTH LAS VEGAS, NV 89084-3206
(702) 863-9499
Mailing address
49 TIERRA BUENA DR, LAS VEGAS, NV 89110-4944
(702) 863-9499
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6361
NV
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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