| NPI | 1245973932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAITLIN AVA-MARIE MULLEN Owner/Physical Therapist 702-568-0985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2024-09-18 |