| NPI | 1245008952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW ROBERSON Member 775-727-7959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 111NR0400X Chiropractor Rehabilitation |
| Enumeration Date | 2023-12-13 |
| Last Update Date | 2024-10-03 |