NPI | 1245008952 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW ROBERSON Member 775-727-7959 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation |
208100000X Physical Medicine & Rehabilitation | |
Enumeration Date | 2023-12-13 |
Last Update Date | 2023-12-13 |