# EFFECTIVE THERAPY AND MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154134997
- **Authorized official:** GUSTAVO MEDINA (OWNER)
- **Authorized official phone:** (435) 229-3245

## Contact information

- **Practice address:** 8275 S EASTERN AVE, LAS VEGAS, NV 89123-2591
- **Practice address phone:** (435) 229-3245
- **Mailing address:** 8275 S EASTERN AVE STE 200, LAS VEGAS, NV 89123-2545
- **Mailing address phone:** (435) 229-3245

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/27/2025
- **Last updated:** 01/27/2025