Provider Demographics
NPI:1497517056
Name:ANGEL'S TOUCH REHABILITATION SERVICES
Entity Type:Organization
Organization Name:ANGEL'S TOUCH REHABILITATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:TANAQUIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-596-4241
Mailing Address - Street 1:4016 SEA HERO ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-4401
Mailing Address - Country:US
Mailing Address - Phone:702-596-4241
Mailing Address - Fax:
Practice Address - Street 1:4016 SEA HERO ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129-4401
Practice Address - Country:US
Practice Address - Phone:702-596-4241
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty