Most Relevant Information
Provider Data
| NPI Number: | 1003555699 |
| Provider Name: | CHRISTELLE ANNE TH CUSIT MACACHOR PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 4362 |
Most Important Dates
| Enumeration Date: | 06/01/2022 |
| Last Updated: | 09/13/2024 |
Provider Practice Location
1252 S NELLIS BLVD
LAS VEGAS
NV
891045782
Practice Location Phone/Fax
| Phone: | 7024594900 |
| Fax: | 7024598686 |
Provider Mailing Location
790 REMINGTON BLVD
BOLINGBROOK
IL
604404909
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |