Provider Demographics
NPI:1447880307
Name:HOLMES, REBECCA (MSPT)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:HOLMES
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:A
Other - Last Name:PALADINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPT
Mailing Address - Street 1:PO BOX 531104
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89053-1104
Mailing Address - Country:US
Mailing Address - Phone:702-294-7498
Mailing Address - Fax:
Practice Address - Street 1:2930 W HORIZON RIDGE PKWY
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-5058
Practice Address - Country:US
Practice Address - Phone:702-294-7498
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-20
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1472225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist