Provider Demographics
NPI:1558787598
Name:ROBB, ROBERT R JR (DPT, PT)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:R
Last Name:ROBB
Suffix:JR
Gender:M
Credentials:DPT, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6440 SKY POINTE DR STE 140-463
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89131-4047
Mailing Address - Country:US
Mailing Address - Phone:702-606-9596
Mailing Address - Fax:
Practice Address - Street 1:6440 SKY POINTE DR STE 140-463
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89131-4047
Practice Address - Country:US
Practice Address - Phone:702-606-9596
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-14
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2912225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV36885Medicare PIN
NVV107474Medicare PIN