| NPI | 1790268621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LYONS Managing Member 702-664-3398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV NV20181515670) |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2018-09-06 |