JACLYN UPWALL
NPI 1063781284
Rehabilitation Practitioner in Las Vegas, NV

The NPI number for Jaclyn Upwall is 1063781284. It was assigned to this individual provider in the NPPES registry on December 16, 2011.

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

The NPPES record for Jaclyn Upwall was last updated on September 25, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 16, 2011

4285 N RANCHO DR STE 160, LAS VEGAS, NV 89130(702) 685-3459(702) 851-8258 Get Directions Write a Review

NPPES record last updated: September 25, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jaclyn Upwall NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACLYN UPWALL (NPI 1063781284) is an individual rehabilitation practitioner in Las Vegas, Nevada and active in the NPI registry since December 2011.

NPI1063781284

Entity TypeIndividualFemale

Primary Taxonomy225400000X

Provider Legal NameJACLYN UPWALL

Location Address4285 N RANCHO DR STE 160Las Vegas, NV 89130-3456

Mailing Address4285 N Rancho Dr Ste 160Las Vegas, NV 89130-3456 · (702) 685-3459 · Fax (702) 851-8258

Fax(702) 851-8258

Sole ProprietorYes

Enumeration DateDecember 16, 2011

Last NPPES UpdateSeptember 25, 2015

✔ NPI 1063781284 is a valid, active identifier and passes the ISO check-digit test.

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225400000X

Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

4285 N RANCHO DR STE 160, Las Vegas, NV 89130

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Rehabilitation Practitioner