Provider Demographics
NPI:1811221922
Name:SMALL, DANIEL (RRT)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:SMALL
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Gender:M
Credentials:RRT
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Mailing Address - Street 1:1655 W HORIZON RIDGE PKWY
Mailing Address - Street 2:STE. 100
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89012-3494
Mailing Address - Country:US
Mailing Address - Phone:702-914-2790
Mailing Address - Fax:702-914-5984
Practice Address - Street 1:1655 W HORIZON RIDGE PKWY
Practice Address - Street 2:STE. 100
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89012-3494
Practice Address - Country:US
Practice Address - Phone:702-914-2790
Practice Address - Fax:702-914-5984
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-22
Last Update Date:2009-09-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NVRC1698227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered