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DEMETRIUS E WILLIS
NPI 1790082949
Rehabilitation Practitioner in Henderson, NV

Active since February 24, 2011
3036 ANDRETTI LN, HENDERSON, NV 89052(702) 259-2493 Get Directions Write a Review

NPPES record last updated: February 24, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Demetrius E Willis NPPES

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

DEMETRIUS E WILLIS (NPI 1790082949) is an individual rehabilitation practitioner in Henderson, Nevada and active in the NPI registry since February 2011.

NPPES Registry Identity

NPI1790082949
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameDEMETRIUS E WILLIS
Location Address3036 ANDRETTI LNHenderson, NV 89052-4144
Mailing Address3036 Andretti LnHenderson, NV 89052-4144 · (702) 259-2493
Phone(702) 259-2493
Sole ProprietorYes
Enumeration DateFebruary 24, 2011
✔ NPI 1790082949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
3036 ANDRETTI LN, Henderson, NV 89052
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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 Demetrius Willis's NPI number?

The NPI number for Demetrius Willis is 1790082949. It was assigned to this individual provider in the NPPES registry on February 24, 2011.

Where is Demetrius Willis located?

Demetrius Willis practices at 3036 Andretti Ln, Henderson, NV 89052. The listed phone number is (702) 259-2493.

What is Demetrius Willis'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 Demetrius Willis was last updated on February 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.