JIM DYCKMAN
NPI 1740677186
Rehabilitation Practitioner in Las Vegas, NV
- Individual
- Male
- Rehabilitation Practitioner
About JIM DYCKMAN
This page provides the complete NPI Profile along with additional information for Jim Dyckman, a provider established in Las Vegas, Nevada with a medical specialization in Rehabilitation Practitioner. The healthcare provider is registered in the NPI registry with number 1740677186 assigned on April 2015. The practitioner's primary taxonomy code is 225400000X. The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1740677186 Verify this NPI
- Provider Name
- JIM DYCKMAN
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 6889 S EASTERN AVE LAS VEGAS, NV 89119
- Location Phone
- (702) 434-1200
- Mailing Address
- 6889 S. EASTERN AVE. LAS, NV 89119
- Mailing Phone
- (702) 434-1200
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-23-2015
- Last Update Date
- 04-23-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Rehabilitation Practitioner
- Taxonomy Code
- 225400000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy Description
- A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1740677186, enumerated as an "individual" on April 23, 2015.
The provider is located at 6889 S EASTERN AVE LAS VEGAS, NV 89119 and the phone number is (702) 434-1200.
Rehabilitation Practitioner with taxonomy code 225400000X.
