Provider Demographics
NPI:1982870051
Name:RANKIN, STEPHEN CHRISTIAN (OTR)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:CHRISTIAN
Last Name:RANKIN
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:MR
Other - First Name:STEVE
Other - Middle Name:
Other - Last Name:RANKIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR
Mailing Address - Street 1:723 SAINT AIDANS ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89178-1259
Mailing Address - Country:US
Mailing Address - Phone:702-767-3480
Mailing Address - Fax:
Practice Address - Street 1:723 SAINT AIDANS ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89178-1259
Practice Address - Country:US
Practice Address - Phone:702-767-3480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-07
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0659225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV0659OtherNV OT LIC