Basic Information
| Provider Information | |||||||||
| NPI: | 1871509745 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | DAY | ||||||||
| FirstName: | CHRISTOPHER | ||||||||
| MiddleName: | J | ||||||||
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| Credential: | MSPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 848 N RAINBOW BLVD | ||||||||
| Address2: | #357 | ||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891071103 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7022336179 | ||||||||
| FaxNumber: | 7022336180 | ||||||||
| Practice Location | |||||||||
| Address1: | 1915 W CRAIG ROAD | ||||||||
| Address2: | SUITE 2 | ||||||||
| City: | N LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 89032 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7026392333 | ||||||||
| FaxNumber: | 7026392334 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/31/2006 | ||||||||
| LastUpdateDate: | 06/05/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 1999 | NV | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
ID Information
| ID | Type | State | Issuer | Description | 1871509745 | 05 | NV | MEDICAID |