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Individual

DOUGLAS J KRASNIEWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPT

Contact information

Practice address
6590 S RAINBOW BLVD STE 230, LAS VEGAS, NV 89118-3322
(725) 726-7847
(725) 726-7876
Mailing address
10785 W TWAIN AVE STE 250, LAS VEGAS, NV 89135-3026
(725) 726-7847
(725) 726-7876

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1708
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1013954312
NV
Enumeration date
06/02/2006
Last updated
01/01/2021
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