Organization · NPI-2

Advanced Manuel Therapy Institute 1 LLC

Physical Therapist · Las Vegas, NV

NPI number1801086053
StatusActive
Last updated in NPPESJun 17, 2013

Details

NPI
1801086053
Entity type
Organization (NPI-2)
Legal business name
Advanced Manuel Therapy Institute 1 LLC
Organization subpart
No
Enumeration date
Jul 25, 2007
Last updated
Jun 17, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist1735NVYes
225100000X Physical Therapist1719NV
225X00000X Occupational Therapist0662NV
225X00000X Occupational Therapist0663NV

Practice location

911 N Buffalo Dr
#107
Las Vegas, NV 89128-0379

Phone 702-896-0383 · Fax 702-889-0383

Mailing address

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

Phone 702-896-0383 · Fax 702-889-0383

Authorized official

Michel S Rantissi
Owner
7028960383

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