Provider Demographics
NPI:1275944027
Name:THAO, JOHN (BA, CRT , RCP)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:THAO
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Gender:M
Credentials:BA, CRT , RCP
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Mailing Address - Street 1:2675 S JONES BLVD STE 113
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-5607
Mailing Address - Country:US
Mailing Address - Phone:702-665-4156
Mailing Address - Fax:702-749-3184
Practice Address - Street 1:2675 S JONES BLVD STE 113
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-5607
Practice Address - Country:US
Practice Address - Phone:702-665-4156
Practice Address - Fax:702-749-3184
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-14
Last Update Date:2025-06-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV874539251J00000X
NVRC346227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified
No251J00000XAgenciesNursing Care