Organization · NPI-2

Advanced Manuel Therapy Institute 1 LLC

Physical Therapist · Henderson, NV

NPI number1740496272
StatusActive
Last updated in NPPESJun 13, 2013

Details

NPI
1740496272
Entity type
Organization (NPI-2)
Legal business name
Advanced Manuel Therapy Institute 1 LLC
Organization subpart
No
Enumeration date
May 14, 2007
Last updated
Jun 13, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist1719NVYes
225100000X Physical Therapist1735NV
225X00000X Occupational Therapist0663NV
225X00000X Occupational Therapist0662NV

Practice location

2625 W Horizon Ridge Pkwy
Suite 120
Henderson, NV 89052-2896

Phone 702-896-0383 · Fax 702-889-0383

Mailing address

2625 W Horizon Ridge Pkwy
Suite 120
Henderson, NV 89052-2896

Phone 702-896-0383 · Fax 702-889-0383

Authorized official

Michel S Rantissi
Owner
7028960383

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