Provider Demographics
NPI:1194523357
Name:ANGLADE, JOI CIARA (LMT)
Entity type:Individual
Prefix:
First Name:JOI
Middle Name:CIARA
Last Name:ANGLADE
Suffix:
Gender:
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:372 CANARY SONG DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89011-4527
Mailing Address - Country:US
Mailing Address - Phone:702-418-6759
Mailing Address - Fax:
Practice Address - Street 1:372 CANARY SONG DR
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89011-4527
Practice Address - Country:US
Practice Address - Phone:702-418-6759
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNVT.12587225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist