Provider Demographics
NPI:1760367528
Name:GELACIO, SAINT K (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:SAINT
Middle Name:K
Last Name:GELACIO
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7399 S JONES BLVD STE A5-A6
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89139-5554
Mailing Address - Country:US
Mailing Address - Phone:725-231-7830
Mailing Address - Fax:
Practice Address - Street 1:7399 S JONES BLVD STE A5-A6
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89139-5554
Practice Address - Country:US
Practice Address - Phone:172-523-1783
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-09
Last Update Date:2025-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV6809225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist