Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Grendale Velasco, DPT

Individual provider Physical Therapist · NPI 1962823872

Grendale Velasco, DPT is a Physical Therapist in Las Vegas, Nevada. Practices as a sole proprietor. Licensed in Nevada.

Licensed in
NV
In the registry since
2013
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

3835 S Jones Blvd Ste 104
Las Vegas, NV 89103-7125
Phone: (702) 880-4193
Fax: (702) 880-4197
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2059 (NV)

Record details

NPI number1962823872
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedDecember 18, 2013
Last updated in NPPESDecember 18, 2013

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