Wellformed AI

NPI 1548760200 · live from the CMS NPI Registry

Courtney Mk Aguda-Semana, DPT

Physical Therapist in Las Vegas, NV. National Provider Identifier 1548760200, active.

NPI record

NPI1548760200 Type 1 · individual
StatusActive
Primary specialtyPhysical Therapist 225100000X
Practice location3213 W Charleston Blvd Ste 105, Las Vegas, NV 89102
Practice phone702-570-6222
EnumeratedFebruary 19, 2018
Last updatedFebruary 19, 2018
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Physical Therapist primary225100000X3694 (NV)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.