Individual
MICAH ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7125 GRAND MONTECITO PKWY STE 120, LAS VEGAS, NV 89149-0261
(702) 824-7427
Mailing address
6142 KINDLEWOOD COVE WAY, LAS VEGAS, NV 89148-5326
(702) 824-7427
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-1386
NV
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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