| NPI | 1982358651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD A POLATIS Owner 702-396-0277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 111N00000X Chiropractor |
| 111NN1001X Chiropractor, Nutrition | |
| Enumeration Date | 2022-02-10 |
| Last Update Date | 2022-02-10 |