Kevin Jan Illastron
Kevin Jan Illastron is a Physical Therapy Assistant in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2023.
- Licensed in
- NV
- In the registry since
- 2023
Practice location Address checks out
11005 Jordyn Hill StLas Vegas, NV 89141-6189
Phone: (650) 440-8323
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence A-1092 (NV) |
|---|
Record details
| NPI number | 1477230332 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 3, 2023 |
| Last updated in NPPES | July 3, 2023 |
| Certification date | July 2, 2023 |
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