Provider Demographics
NPI:1730427980
Name:BONE-RAPP, STACY (DC)
Entity type:Individual
Prefix:DR
First Name:STACY
Middle Name:
Last Name:BONE-RAPP
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8821 W SAHARA AVE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-4815
Mailing Address - Country:US
Mailing Address - Phone:702-876-3300
Mailing Address - Fax:702-876-3174
Practice Address - Street 1:8821 W SAHARA AVE
Practice Address - Street 2:SUITE 120
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-4815
Practice Address - Country:US
Practice Address - Phone:702-876-3300
Practice Address - Fax:702-876-3174
Is Sole Proprietor?:No
Enumeration Date:2013-01-23
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB01394111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor