Provider Demographics
NPI:1447371448
Name:LIAOS, STEVEN M (PT)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:M
Last Name:LIAOS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:874 AMERICAN PACIFIC DR
Mailing Address - Street 2:SCHOOL OF PHYSICAL THERAPY
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-8800
Mailing Address - Country:US
Mailing Address - Phone:702-777-3957
Mailing Address - Fax:702-777-3055
Practice Address - Street 1:874 AMERICAN PACIFIC DR
Practice Address - Street 2:SCHOOL OF PHYSICAL THERAPY
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-8800
Practice Address - Country:US
Practice Address - Phone:702-777-3957
Practice Address - Fax:702-777-3055
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2013-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1664225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist