Search › Nevada › 225200000X
Ted Vidal, PTA, LMT
NPI 1740998434 · on the registry since 2022
Practice
- Address
- 2350 Ione Rd
Las Vegas, NV 89183 - Phone
- (702) 790-3000
- Organisation at this address
- Grape Holdings, Llc
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 6823 Ponderosa Way, Las Vegas, NV
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Also registered as
- 225200000X
225700000X - Licence states on file
- CA, NV
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-01-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada