NPI | 1366177610 |
---|---|
Entity Type | Organization |
Authorized Contact | RYAN SITTLER Ap RN 702-396-0277 |
Organization Subpart ? | No |
Primary Taxonomy | 202D00000X Integrative Medicine |
Additional Taxonomies | 111N00000X Chiropractor |
208100000X Physical Medicine & Rehabilitation | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2022-07-20 |
Last Update Date | 2022-07-20 |