Provider Demographics
NPI:1154993707
Name:TORGERSON, JASLYN (DPT)
Entity type:Individual
Prefix:
First Name:JASLYN
Middle Name:
Last Name:TORGERSON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3052 SPLIT OAK AVE
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89044-1620
Mailing Address - Country:US
Mailing Address - Phone:509-431-7373
Mailing Address - Fax:
Practice Address - Street 1:9260 W SUNSET RD STE 206
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-4903
Practice Address - Country:US
Practice Address - Phone:702-241-5568
Practice Address - Fax:877-214-5160
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-13
Last Update Date:2024-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4608225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist