| NPI | 1043955099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDY FRIDAY Credentialer 702-800-8988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 163WM1400X Registered Nurse, Nurse Massage Therapist (NMT) |
| 225200000X Physical Therapy Assistant | |
| 225700000X Massage Therapist | |
| Enumeration Date | 2022-05-04 |
| Last Update Date | 2022-08-12 |