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MS. CRYSTINA LOUISE BLAZE
NPI 1548658636
Rehabilitation Practitioner in Las Vegas, NV

Active since December 26, 2014
1417 LAS VEGAS BLVD N, LAS VEGAS, NV 89101(702) 385-3776 Get Directions Write a Review

NPPES record last updated: December 26, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Crystina Louise Blaze NPPES

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

MS. CRYSTINA LOUISE BLAZE (NPI 1548658636) is an individual rehabilitation practitioner in Las Vegas, Nevada and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1548658636
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameMS. CRYSTINA LOUISE BLAZE
Location Address1417 LAS VEGAS BLVD NLas Vegas, NV 89101-1115
Mailing Address1417 Las Vegas Blvd NLas Vegas, NV 89101-1115 · (702) 385-3776
Phone(702) 385-3776
Sole ProprietorNo
Enumeration DateDecember 26, 2014
✔ NPI 1548658636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1417 LAS VEGAS BLVD N, Las Vegas, NV 89101
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Other Providers at the Same Location NPPES 16

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

MS. LINDA LOUISE STEVENS LADC
Counselor (Addiction (Substance Use Disorder))
1417 LAS VEGAS BLVD N
LAS VEGAS, NV 89101
Clark County (702) 385-3776
MRS. CAROL MALONE
Rehabilitation Practitioner
1417 LAS VEGAS BLVD N
LAS VEGAS, NV 89101
Clark County (702) 385-3776
DIANA PEDRAZA
Rehabilitation Practitioner
1417 LAS VEGAS BLVD N
LAS VEGAS, NV 89101
Clark County (702) 742-5926
MR. ALEXANDER BERNAL
Rehabilitation Practitioner
1417 LAS VEGAS BLVD N
LAS VEGAS, NV 89101
Clark County (702) 385-3776
MRS. JENNIFER N HARRIS
Rehabilitation Practitioner
1417 LAS VEGAS BLVD N
LAS VEGAS, NV 89101
Clark County (702) 385-3776
MR. SHAWN JOAQUIN SMITH
Rehabilitation Practitioner
1417 LAS VEGAS BLVD N
LAS VEGAS, NV 89101
Clark County (702) 385-3776
JOYCE ANN HOLYS BS, LADC
Psychologist (Addiction (Substance Use Disorder))
1417 LAS VEGAS BLVD N
LAS VEGAS, NV 89101
Clark County (702) 385-3776
MR. ALFONZO DERRELL MCNEAL
Rehabilitation Practitioner
1417 LAS VEGAS BLVD N
LAS VEGAS, NV 89101
Clark County (702) 385-3776

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystina Blaze's NPI number?

The NPI number for Crystina Blaze is 1548658636. It was assigned to this individual provider in the NPPES registry on December 26, 2014.

Where is Crystina Blaze located?

Crystina Blaze practices at 1417 Las Vegas Blvd N, Las Vegas, NV 89101. The listed phone number is (702) 385-3776.

What is Crystina Blaze's specialty?

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

When was this NPI record last updated?

The NPPES record for Crystina Blaze was last updated on December 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.