Provider Demographics
NPI:1316998552
Name:CLEAVER, ADAM GARRETT (DPT)
Entity type:Individual
Prefix:MR
First Name:ADAM
Middle Name:GARRETT
Last Name:CLEAVER
Suffix:
Gender:M
Credentials:DPT
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Mailing Address - Street 1:70 E HORIZON RIDGE PKWY
Mailing Address - Street 2:#180
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89015-7935
Mailing Address - Country:US
Mailing Address - Phone:702-856-0422
Mailing Address - Fax:702-433-0425
Practice Address - Street 1:750 CORONADO CENTER DR
Practice Address - Street 2:#140
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-5034
Practice Address - Country:US
Practice Address - Phone:702-312-4878
Practice Address - Fax:702-312-4886
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2014-11-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV1832225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100503654Medicaid
NVV36885Medicare PIN
NV100503654Medicaid