Provider Demographics
NPI:1790072866
Name:ANDERS, JOSEPH (DPT)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:ANDERS
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 1:2690 DEER SPRINGS WY
Mailing Address - Street 2:104
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89084-5821
Mailing Address - Country:US
Mailing Address - Phone:702-448-5155
Mailing Address - Fax:702-444-2485
Practice Address - Street 1:2690 DEER SPRINGS WY
Practice Address - Street 2:104
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89084-5821
Practice Address - Country:US
Practice Address - Phone:702-448-5155
Practice Address - Fax:702-444-2485
Is Sole Proprietor?:No
Enumeration Date:2011-07-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV2583225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist