Individual
SALLY BASTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1 BREAKTHROUGH WAY, LAS VEGAS, NV 89135-3011
(702) 732-1493
(702) 732-1080
Mailing address
10170 W TROPICANA AVE # 156-252, LAS VEGAS, NV 89147-8465
(702) 732-1493
(702) 732-1080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2896
NV
225100000X
Physical Therapist
8552041-2401
UT
Other
Enumeration date
10/30/2013
Last updated
01/28/2022
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