PROF. JOSEPH (JOE) DAVID CRACRAFT (NPI# 1396961611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396961611 |
Entity Type | Individual |
Full Name | PROF. JOSEPH (JOE) DAVID CRACRAFT |
Credential | PT, PH.D. |
Practice Address |
6375 West Charleston Blvd. Las Vegas NV 89143 |
Mailing Address |
7433 Alice Springs Cir Las Vegas NV 89129-5919 |
Practice Telephone | 7026515588 |
Practice Fax Number | 7206515506 |
Mailing Telephone | 7026515588 |
Mailing Fax Number | 7026515506 |
Enumeration Date | 2007-04-17 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 0658 | NV | Other Service Providers |
Street Address |
6375 WEST CHARLESTON BLVD. |
City | LAS VEGAS |
State | NV |
Zip Code | 89143 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053531459 | Accessible Space Inc. | Clinic/Center | 6375 West Charleston Blvd., Suite L200 Wcl, Las Vegas, NV 89146 | 2007-04-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356735823 | Rodney Sholty | Family Medicine | 8121 Caramel Gorge Ct, Las Vegas, NV 89143 | 2015-03-23 |
1417345505 | Anthony Cialkowski | Physical Therapy Assistant | 8412 Timber Pine Ave., Las Vegas, NV 89143 | 2014-12-26 |
1598023954 | Ronald Lavor Moon | Physician Assistant | 9806 Red Deer St, Las Vegas, NV 89143 | 2012-04-23 |
1487066072 | A Third Hand | Specialist/Technologist, Other | 9806 Red Deer St, Las Vegas, NV 89143 | 2014-05-30 |
1255630356 | Daughters of Zion LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8444 Bandit Bluff Ave, Las Vegas, NV 89143-0289 | 2011-03-15 |
1689000416 | Ezekiel Perez | Behavioral Analyst | 8913 Big Plantation Ave, Las Vegas, NV 89143-1112 | 2013-09-25 |
1164794319 | Nina Henderson | Rehabilitation Practitioner | 8908 Picket Fence Ave, Las Vegas, NV 89143-1114 | 2012-02-03 |
1407076821 | Steven Daniel Fisher | Social Worker | 9049 Pine Mission Ave, Las Vegas, NV 89143-1124 | 2007-04-26 |
1730788910 | Raney Yatomi | Behavior Technician | 8928 Reining Spur Ave, Las Vegas, NV 89143-1130 | 2020-10-20 |
1982903738 | Trenton Brisco | Behavioral Analyst | 9509 Yellowshale St, Las Vegas, NV 89143-1137 | 2011-03-18 |
Find all providers in zip 89143 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710503305 | Michelle Mong Chan | Specialist | 5250 S Rainbow Blvd Unit 1138, Las Vegas, NV 89118-0630 | 2020-06-19 |
1821627878 | Anita Sidhu | Specialist | 9916 Pipestone St, Las Vegas, NV 89141-8667 | 2020-04-02 |
1316571144 | Jessica Lynn Bosch | Specialist | 2452 Desert Glen Dr, Las Vegas, NV 89134-8871 | 2020-03-02 |
1255963229 | Samantha Muro | Specialist | 4400 S Jones Blvd Unit 1017, Las Vegas, NV 89103-3336 | 2020-02-07 |
1417431024 | Misnelli Diaz-osorio | Specialist | 4714 E Flamingo Rd, Las Vegas, NV 89121-4709 | 2018-09-19 |
1265920011 | Mike Henley | Specialist | 8220 W Charleston Blvd, Las Vegas, NV 89117-1219 | 2018-04-27 |
1811485691 | George Alan Wheeler | Specialist | 2750 S Durango Dr Apt 2058, Las Vegas, NV 89117-2645 | 2018-04-26 |
1477082261 | Stephanie Staub | Specialist | 929 Boulder Mesa Dr Unit 102, Las Vegas, NV 89128-4151 | 2017-06-06 |
1124562327 | Medical Massage Rehab, LLC | Specialist | 945 Falconhead Ln Unit 202, Las Vegas, NV 89128-0332 | 2016-12-07 |
1396296323 | Kori Jeffries | Specialist | 8625 Dollhouse Dr, Las Vegas, NV 89145-4839 | 2016-10-14 |
Find all providers in LAS VEGAS |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.