Provider Demographics
NPI:1346854700
Name:MAY, NATHANIEL MICHAEL (DPT)
Entity Type:Individual
Prefix:
First Name:NATHANIEL
Middle Name:MICHAEL
Last Name:MAY
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2930 W HORIZON RIDGE PKWY STE 205
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-5062
Mailing Address - Country:US
Mailing Address - Phone:702-294-7498
Mailing Address - Fax:702-294-7495
Practice Address - Street 1:2930 W HORIZON RIDGE PKWY STE 205
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-5062
Practice Address - Country:US
Practice Address - Phone:702-294-7498
Practice Address - Fax:702-294-7495
Is Sole Proprietor?:No
Enumeration Date:2020-09-03
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4315225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist