| NPI | 1275967044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN SMITH Owner 702-568-8450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2014-03-20 |