IndividualActive
Antonio Jackson
NPI 1083994982 · Rehabilitation Counselor · North Las Vegas, NV
Provider details
- NPI number
- 1083994982
- Entity type
- Individual
- Primary specialty
- Rehabilitation CounselorRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3840 N Commerce St
Ste. 200
North Las Vegas, NV 89032-8104
Phone: (702) 646-7570
Approximate (ZIP-level) locationGet directions
Mailing address
3840 N Commerce St
North Las Vegas, NV 89032-8104
Registry dates
- Enumerated
- 2011-08-23
- Last updated
- 2011-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.