Provider Demographics
NPI:1639403215
Name:SCHECHLA, JARROD ALAN (DPT)
Entity type:Individual
Prefix:
First Name:JARROD
Middle Name:ALAN
Last Name:SCHECHLA
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2800 E DESERT INN RD
Mailing Address - Street 2:200
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121
Mailing Address - Country:US
Mailing Address - Phone:702-892-9077
Mailing Address - Fax:702-892-9044
Practice Address - Street 1:8402 W CENTENNIAL PKWY
Practice Address - Street 2:240
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89149
Practice Address - Country:US
Practice Address - Phone:702-386-1250
Practice Address - Fax:702-386-1251
Is Sole Proprietor?:No
Enumeration Date:2009-09-29
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV2375225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist