Individual
ELGIN MACASPAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
10550 PARK RUN DR, LAS VEGAS, NV 89144-4575
(702) 515-6200
Mailing address
805 BLUEBIRD HILL AVE, NORTH LAS VEGAS, NV 89084-2561
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3877
NV
225100000X
Physical Therapist
41462
CA
225100000X
Physical Therapist
J1-0002997
DE
Other
Enumeration date
07/01/2013
Last updated
04/20/2021
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