Provider Demographics
NPI:1083988364
Name:ROBINSON, LAYAH L
Entity Type:Individual
Prefix:
First Name:LAYAH
Middle Name:L
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2608 WHITE OAK RD
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89030-5341
Mailing Address - Country:US
Mailing Address - Phone:702-388-1016
Mailing Address - Fax:702-388-1018
Practice Address - Street 1:2608 WHITE OAK RD
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89030-5341
Practice Address - Country:US
Practice Address - Phone:702-388-1016
Practice Address - Fax:702-388-1018
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-03
Last Update Date:2012-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1402009302225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner