Provider Demographics
NPI:1285465229
Name:NYMAN, ZACHARY VINCENT (DPT)
Entity type:Individual
Prefix:
First Name:ZACHARY
Middle Name:VINCENT
Last Name:NYMAN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6040 S RAINBOW BLVD STE B1
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89118-2542
Mailing Address - Country:US
Mailing Address - Phone:702-876-9737
Mailing Address - Fax:702-876-9741
Practice Address - Street 1:6040 S RAINBOW BLVD STE B1
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89118-2542
Practice Address - Country:US
Practice Address - Phone:702-876-9737
Practice Address - Fax:702-876-9741
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-12
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV6503225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist