Wise, Jeri L

Wise, Jeri L is an individual health care provider with primary practice located at 1701 N Green Valley Pkwy Bldg 8, Ste. B, Henderson NV 89074-5885. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Wise, Jeri L can be contacted via phone (702) 998-3333.

Contact Information

Primary practice address
1701 N Green Valley Pkwy Bldg 8, Ste. B Henderson NV 89074-5885
Phone: (702) 998-3333
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1045 Nevada

Profile Details

NPI number 1366489668
LBN Legal business name Wise, Jeri L
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Aug 6th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366489668 NPPES
Nevada MEDICAID 003402035

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