| NPI | 1326311093 |
|---|---|
| Doing Business As | GREEN VALLEY NECK AND BACK |
| Entity Type | Organization |
| Authorized Contact | KENNETH FUST Manager 702-434-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: NV 1710) |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2012-02-10 |