Provider Demographics
NPI:1124376124
Name:BARRETT, FRANK ROCKY (PT)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:ROCKY
Last Name:BARRETT
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9070 W CHEYENNE AVE
Mailing Address - Street 2:SUITE #100
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-8934
Mailing Address - Country:US
Mailing Address - Phone:702-655-8535
Mailing Address - Fax:702-656-5863
Practice Address - Street 1:9070 W CHEYENNE AVE
Practice Address - Street 2:SUITE #100
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129-8934
Practice Address - Country:US
Practice Address - Phone:702-655-8535
Practice Address - Fax:702-656-5863
Is Sole Proprietor?:No
Enumeration Date:2012-08-22
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2690225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist