| NPI | 1487607883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS L WAKEFIELD Officer/Director/Ms PT 702-346-1899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2008-04-25 |