Organization · NPI-2

Kinetix Fitness Therapy

Physical Therapist, Sports · Las Vegas, NV

NPI number1356772610
StatusActive
Last updated in NPPESDec 11, 2013

Details

NPI
1356772610
Entity type
Organization (NPI-2)
Legal business name
Kinetix Fitness Therapy
Organization subpart
No
Enumeration date
Dec 11, 2013
Last updated
Dec 11, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2251S0007X Physical Therapist, Sports––Yes
132700000X Dietary Manager––
225100000X Physical Therapist––
2255A2300X Specialist/Technologist, Athletic Trainer––
226300000X Kinesiotherapist––

Practice location

848 N Rainbow Blvd
Suite 156
Las Vegas, NV 89107-1103

Phone 928-201-6660

Mailing address

848 N Rainbow Blvd
Suite 156
Las Vegas, NV 89107-1103

Phone 928-201-6660

Authorized official

Carlos Sanchez
Member
9282016660

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