IndividualActive
Chanel Willis
NPI 1821334384 · Rehabilitation Practitioner · Nv, NV
Provider details
- NPI number
- 1821334384
- Entity type
- Individual
- Primary specialty
- Rehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
224 S. Jones Lv Nv
Nv, NV 89107
Phone: (702) 822-1206
Fax: (702) 822-1124
Approximate (ZIP-level) locationGet directions
Mailing address
224 S. Jones Lv Nv
Nv, NV 89107
Registry dates
- Enumerated
- 2013-01-02
- Last updated
- 2013-01-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.