| NPI | 1912308982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE MATTHEW DIXON Secretary/Treasurer 775-560-7699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: NV 1562) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2014-09-10 |