Provider Demographics
NPI:1265682702
Name:CHIOVARO, JESSICA INGRID (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:INGRID
Last Name:CHIOVARO
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Gender:F
Credentials:PHYSICAL THERAPIST
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Mailing Address - Street 1:7340 S ALTON WAY
Mailing Address - Street 2:STE 11-D
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-2323
Mailing Address - Country:US
Mailing Address - Phone:702-256-9738
Mailing Address - Fax:702-242-5629
Practice Address - Street 1:727 N NELLIS BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89110-5384
Practice Address - Country:US
Practice Address - Phone:702-459-4900
Practice Address - Fax:702-459-8686
Is Sole Proprietor?:No
Enumeration Date:2008-09-21
Last Update Date:2020-01-22
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1265682702Medicaid
NVAY684ZMedicare PIN