Provider Demographics
NPI:1447013404
Name:ORGILL, DEVYN KAYE (DPT)
Entity type:Individual
Prefix:
First Name:DEVYN
Middle Name:KAYE
Last Name:ORGILL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:DEVYN
Other - Middle Name:KAYE
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 60516
Mailing Address - Street 2:
Mailing Address - City:BOULDER CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89006-0516
Mailing Address - Country:US
Mailing Address - Phone:702-530-6329
Mailing Address - Fax:702-952-5417
Practice Address - Street 1:1658 BOULDER CITY PKWY
Practice Address - Street 2:
Practice Address - City:BOULDER CITY
Practice Address - State:NV
Practice Address - Zip Code:89005-1904
Practice Address - Country:US
Practice Address - Phone:702-530-6329
Practice Address - Fax:702-952-5417
Is Sole Proprietor?:No
Enumeration Date:2024-02-02
Last Update Date:2024-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist