Organization
THERAPEUTIC MASSAGING INSOLES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN JAMES WILTZ (MANAGING PARTNER)
(702) 966-2414
Entity
Organization
Contact information
Practice address
3280 WYNN RD, SUITE #1, LAS VEGAS, NV 89102-7823
(702) 966-2414
(702) 629-7647
Mailing address
3280 WYNN RD, SUITE #1, LAS VEGAS, NV 89102-7823
(702) 966-2414
(702) 629-7647
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/24/2008
Last updated
06/13/2008
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