NPI 1104021419 · live from the CMS NPI Registry
Balance Center Of Las Vegas, LLC
Physical Therapist in Las Vegas, NV. National Provider Identifier 1104021419, active.
NPI record
| NPI | 1104021419 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 321 N Buffalo Dr, Suite 100, Las Vegas, NV 89145 |
| Practice phone | 702-341-0606 |
| Mailing address | 1750 N Buffalo Dr, Unit 104-434, Las Vegas, NV 89128 |
| Enumerated | June 18, 2007 |
| Last updated | August 27, 2007 |
| Authorized official | Beth Sroka, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | 0947 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.