| NPI | 1386654911 | 
|---|---|
| Doing Business As | MOUNTAIN WEST SPORT AND SPINE | 
| Doing Business As | ORTHOPEDIC REHABILITATION SPECIALIST OF NEVADA | 
| Entity Type | Organization | 
| Authorized Contact | ASHLEY B GEORGETTA Credentialing 775-448-9456  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation | 
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation | 
| Enumeration Date | 2006-08-08 | 
| Last Update Date | 2023-07-10 |