NPI | 1821736505 |
---|---|
Doing Business As | SPINE UP |
Entity Type | Organization |
Authorized Contact | RYAN E SITTLER Nurse Practitioner 702-396-0277 |
Organization Subpart ? | No |
Primary Taxonomy | 202D00000X Integrative Medicine |
Additional Taxonomies | 208D00000X General Practice |
208100000X Physical Medicine & Rehabilitation | |
Enumeration Date | 2022-05-23 |
Last Update Date | 2022-05-28 |