Most Relevant Information
Provider Data
| NPI Number: | 1003386533 |
| Provider Name: | DAMON ELLIOTT PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | A-0456 |
Most Important Dates
| Enumeration Date: | 11/27/2018 |
| Last Updated: | 11/27/2018 |
Provider Practice Location
9906 GRAY SEA EAGLE AVE
LAS VEGAS
NV
891178426
Practice Location Phone/Fax
| Phone: | 7025429359 |
| Fax: |
Provider Mailing Location
9906 GRAY SEA EAGLE AVE
LAS VEGAS
NV
891178426
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |