Organization
FULL FUNCTION PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY FRIDAY (CREDENTIALER)
(702) 800-8988
Entity
Organization
Contact information
Practice address
2250 CORPORATE CIR STE 350, HENDERSON, NV 89074-7714
(702) 522-7858
(702) 522-7897
Mailing address
124 SOARING SKY AVE, HENDERSON, NV 89011-2535
Taxonomy
Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
—
—
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
05/04/2022
Last updated
08/12/2022
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