Provider Demographics
NPI:1053529347
Name:WEBB, JEFFREY L (DC, DPT)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:L
Last Name:WEBB
Suffix:
Gender:M
Credentials:DC, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4616 W SAHARA AVE # 337
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-3654
Mailing Address - Country:US
Mailing Address - Phone:702-880-4193
Mailing Address - Fax:
Practice Address - Street 1:1928 E SAHARA AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104-3843
Practice Address - Country:US
Practice Address - Phone:702-457-4727
Practice Address - Fax:702-457-7083
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV30012251X0800X
NVB00424111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No111N00000XChiropractic ProvidersChiropractor