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Organization

EXQUISITE THERAPY SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KIMBERLY CARSON (OFFICE MANAGER)
(702) 655-6560
Entity
Organization

Contact information

Practice address
7465 W LAKE MEAD BLVD STE 100, LAS VEGAS, NV 89128-1033
(702) 655-6560
Mailing address
2203 JARDINE AVE, N LAS VEGAS, NV 89032-0642

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NV
NV
Enumeration date
02/06/2023
Last updated
02/06/2023
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