NPI | 1821590704 |
---|---|
Other Name | LIFETIME BODY AND HEALTH AWARENESS HAYNES PHYSICAL THERAPY PLLC |
Other Name | LIFETIME BODY AND HEALTH AWARENESS PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | SHENITA HAYNES Owner 702-831-8076 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 305S00000X Point of Service |
Enumeration Date | 2018-03-06 |
Last Update Date | 2020-08-19 |