Most Relevant Information
Provider Data
| NPI Number: | 1003001140 |
| Provider Name: | JON NICASTRO PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 4491 |
Most Important Dates
| Enumeration Date: | 09/12/2007 |
| Last Updated: | 11/22/2019 |
Provider Practice Location
400 N STEPHANIE ST STE 310
HENDERSON
NV
890146608
Practice Location Phone/Fax
| Phone: | 5756367434 |
| Fax: |
Provider Mailing Location
400 N STEPHANIE ST STE 310
HENDERSON
NV
890146608
Provider Mailing Phone/Fax
| Phone: | 5756367434 |
| Fax: |