NPI 1801086053 · live from the CMS NPI Registry
Advanced Manuel Therapy Institute 1 LLC
Physical Therapist in Las Vegas, NV. National Provider Identifier 1801086053, active.
NPI record
| NPI | 1801086053 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 911 N Buffalo Dr, #107, Las Vegas, NV 89128 |
| Practice phone | 702-896-0383 |
| Mailing address | 2625 W Horizon Ridge Pkwy, #120, Henderson, NV 89052 |
| Enumerated | July 25, 2007 |
| Last updated | June 17, 2013 |
| Authorized official | Michel Rantissi, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | 1719 (NV) |
| Occupational Therapist | 225X00000X | 0662 (NV) |
| Occupational Therapist | 225X00000X | 0663 (NV) |
| Physical Therapist primary | 225100000X | 1735 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.