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

Tracy Antonio

Individual provider Rehabilitation Practitioner · NPI 1932450582

Tracy Antonio is a Rehabilitation Practitioner in Las Vegas, Nevada. Practices as a sole proprietor. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

5455 S Fort Apache Rd # 108-12
Las Vegas, NV 89148-6408
Phone: (702) 353-8622
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 number1932450582
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 23, 2012
Last updated in NPPESSeptember 23, 2012

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