Provider Demographics
NPI:1497160865
Name:ELKIND, JADE (DPT)
Entity Type:Individual
Prefix:
First Name:JADE
Middle Name:
Last Name:ELKIND
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1695 SUNHAVEN CT
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-4046
Mailing Address - Country:US
Mailing Address - Phone:755-621-6789
Mailing Address - Fax:
Practice Address - Street 1:1495 RIDGEVIEW DR STE 120
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89519-6315
Practice Address - Country:US
Practice Address - Phone:775-323-5458
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-24
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2962225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist