Organization
PHASE 1 MEDICAL, LLC
Active
Organization
PHASE 1 MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL WATERS (OWNER)
(702) 300-4880
Entity
Organization
Contact information
Practice address
7770 DEAN MARTIN DR STE 307, LAS VEGAS, NV 89139-6603
(702) 641-0011
Mailing address
7770 DEAN MARTIN DR STE 307, LAS VEGAS, NV 89139-6603
(702) 641-0011
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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