Organization
EDUCATED ATHLETICS LTD.
Active
Organization
EDUCATED ATHLETICS LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR KUCERA DPT (OWNER)
(949) 701-6722
Entity
Organization
Contact information
Practice address
7044 PARROT BAY WAY, LAS VEGAS, NV 89118-4748
(949) 701-6722
Mailing address
7044 PARROT BAY WAY, LAS VEGAS, NV 89118-4748
(949) 701-6722
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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