Organization
SPORTS THERAPY AND REHABILITATION INC.
Active
Organization
SPORTS THERAPY AND REHABILITATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUANN M TUCKER P.T. (OWNER/P.T.)
(775) 885-7827
Entity
Organization
Contact information
Practice address
303 FLEISCHMANN WY, CARSON CITY, NV 89703
(775) 885-7827
(775) 885-2301
Mailing address
303 FLEISCHMANN WY, CARSON CITY, NV 89703
(775) 885-7827
(775) 885-2301
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0326
NV
225100000X
Physical Therapist
Primary
0445
NV
225100000X
Physical Therapist
1249
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003416133
—
NV
05
—
100505561
—
NV
Enumeration date
09/22/2006
Last updated
06/08/2020
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