# MULTI WAVE THERAPY ESWT, LLC

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

## Provider details

- **NPI number:** 1457672032
- **Authorized official:** JESSE RHODES (MANAGER)
- **Authorized official phone:** (407) 679-2522

## Contact information

- **Practice address:** 1936 PARK SHADOWS LN, LAS VEGAS, NV 89134-6661
- **Practice address phone:** (407) 679-2522
- **Practice address fax:** (407) 679-2922
- **Mailing address:** PO BOX 620574, OVIEDO, FL 32762-0574

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |
| 174400000X | Specialist | — | NULL | — |
| 174400000X | Specialist | — | — | — |

## Other

- **Enumeration date:** 06/17/2010
- **Last updated:** 06/17/2010