| NPI | 1104834050 |
|---|---|
| Doing Business As | FYZICAL SPORTS |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE HOLMSTROM Office Administrator 702-655-8535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 2005) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 0449) |
| 225100000X Physical Therapist (Licence: NV 2004) | |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2016-08-19 |