Las Vegas Bodyworks Llc

NPI 1255503736 - Physical Therapist - 225100000X

NPI Details
NPI 1255503736
Enumeration Date 03/25/2008
Last Updated 06/05/2013
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name RANDY MASAO RANDY
Position PHYSICAL THERAPIST
Phone (505) 454-0443
Fax (505) 454-0498
Practice Location
508 UNIVERSITY AVE
LAS VEGAS NM, 87701-4349, US
Phone (505) 454-0443
Fax (505) 454-0498
Business Location
508 UNIVERSITY AVE
LAS VEGAS NM, 87701-4349, US
Phone (505) 454-0443
Fax (505) 454-0498
Toxanomy
Taxonomy Code 225100000X
License State New Mexico
License Number 1308
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According to our database, Las Vegas Bodyworks Llc NPI is 1255503736, taxonomy code is 225100000X and license number is 1308, license state is located at New Mexico. Las Vegas Bodyworks Llc physically located at 508 University Ave, Las Vegas NM, 87701-4349. NPI Number 1033115704 has the healthcare provider type.

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1255503736 NPI number is provided on an as is basis without warranty of any kind. 1255503736 is maintained by the National Plan & Provider Enumeration System. The contents of Las Vegas Bodyworks Llc are for informational purposes only.