Provider Demographics
NPI:1790300184
Name:TALABIS PHYSICAL THERAPY SERVICES, INC
Entity Type:Organization
Organization Name:TALABIS PHYSICAL THERAPY SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:HANNELORE
Authorized Official - Middle Name:
Authorized Official - Last Name:TALABIS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:702-480-2788
Mailing Address - Street 1:9224 THUNDER FALLS CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89149-1673
Mailing Address - Country:US
Mailing Address - Phone:702-480-2788
Mailing Address - Fax:
Practice Address - Street 1:9224 THUNDER FALLS CT
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89149-1673
Practice Address - Country:US
Practice Address - Phone:702-480-2788
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-11
Last Update Date:2020-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty