Provider Demographics
NPI:1154617348
Name:KLEIN, MESSINA DAWN (LPTA)
Entity type:Individual
Prefix:MS
First Name:MESSINA
Middle Name:DAWN
Last Name:KLEIN
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6262 ORDAZ AVE UNIT 101
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89011-1010
Mailing Address - Country:US
Mailing Address - Phone:702-435-2568
Mailing Address - Fax:
Practice Address - Street 1:6262 ORDAZ AVE UNIT 101
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89011-1010
Practice Address - Country:US
Practice Address - Phone:702-435-2568
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-26
Last Update Date:2011-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVA0278225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant