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

Kelly Tyla Jordan' Watters

Individual provider Rehabilitation Practitioner · NPI 1184984007

Kelly Tyla Jordan' Watters is a Rehabilitation Practitioner in North las Vegas, Nevada. Practices as a sole proprietor. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

6551 McCarran St Apt 2029
North las Vegas, NV 89086-1442
Phone: (818) 614-7658
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X

Record details

NPI number1184984007
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 25, 2012
Last updated in NPPESMay 25, 2012

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