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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251S0007X | Physical Therapist, Sports | – | – | Yes |
| 132700000X | Dietary Manager | – | – | |
| 225100000X | Physical Therapist | – | – | |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | |
| 226300000X | Kinesiotherapist | – | – |
Practice location
848 N Rainbow BlvdSuite 156
Las Vegas, NV 89107-1103
Phone 928-201-6660
Mailing address
848 N Rainbow BlvdSuite 156
Las Vegas, NV 89107-1103
Phone 928-201-6660
Authorized official
Carlos Sanchez
Member
9282016660
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