Provider Demographics
NPI:1770265753
Name:YI, MIN (DPT)
Entity type:Individual
Prefix:
First Name:MIN
Middle Name:
Last Name:YI
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:PAUL
Other - Middle Name:
Other - Last Name:YI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2690 W DEER SPRINGS WAY STE 104
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89084-5822
Mailing Address - Country:US
Mailing Address - Phone:702-448-5155
Mailing Address - Fax:
Practice Address - Street 1:2690 W DEER SPRINGS WAY STE 104
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89084-5822
Practice Address - Country:US
Practice Address - Phone:702-448-5155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-01
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist