ERIC FOWLKES
NPI 1558666396
Rehabilitation Practitioner in Las Vegas, NV

The NPI number for Eric Fowlkes is 1558666396. It was assigned to this individual provider in the NPPES registry on January 25, 2011.

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

The NPPES record for Eric Fowlkes was last updated on January 25, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 25, 2011

821 N MOJAVE RD, LAS VEGAS, NV 89101(702) 642-7070(702) 649-3906 Get Directions Write a Review

NPPES record last updated: January 25, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Eric Fowlkes NPPES

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

ERIC FOWLKES (NPI 1558666396) is an individual rehabilitation practitioner in Las Vegas, Nevada and active in the NPI registry since January 2011.

NPI1558666396

Entity TypeIndividualMale

Primary Taxonomy225400000X

Provider Legal NameERIC FOWLKES

Location Address821 N MOJAVE RDLas Vegas, NV 89101-2407

Mailing Address821 N Mojave RdLas Vegas, NV 89101-2407 · (702) 642-7070 · Fax (702) 649-3906

Fax(702) 649-3906

Sole ProprietorYes

Enumeration DateJanuary 25, 2011

✔ NPI 1558666396 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.

821 N MOJAVE RD, Las Vegas, NV 89101

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

Social Worker (Clinical)