Tara Traynor-Grimes
Rehabilitation Practitioner in Las Vegas, NV. Individual provider (NPI-1).
NPI number1083106942
StatusActive
Last updated in NPPESJun 5, 2018
Details
- NPI
- 1083106942
- Entity type
- Individual (NPI-1)
- Name
- Tara Traynor-Grimes
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 5, 2018
- Last updated
- Jun 5, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
Practice location
4285 N Rancho DrLas Vegas, NV 89130-3446
Phone 702-385-5331
Mailing address
4285 N Rancho DrLas Vegas, NV 89130-3446
Phone 702-385-5331
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