Individual
RYAN WITHOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4005 S EL CAPITAN WAY, LAS VEGAS, NV 89147-3430
(170) 275-1600
Mailing address
6222 FOOTHILL BLVD, LAS VEGAS, NV 89118-1455
(702) 505-1494
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3291
NV
Other
Enumeration date
06/05/2015
Last updated
06/05/2015
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