IndividualActive
Adela Mascarenas, PT, DPT
NPI 1902140510 · Physical Therapist · Las Vegas, NM
Provider details
- NPI number
- 1902140510
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4215 (NM)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
179 Bridge St
Las Vegas, NM 87701-3495
Phone: (505) 426-2318
Approximate (ZIP-level) locationGet directions
Mailing address
23760 Se Tillstrom Rd
Damascus, OR 97089-6174
Registry dates
- Enumerated
- 2012-11-20
- Last updated
- 2012-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.