Individual
CHAYUT GORDON VONGMEPUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
149 N GIBSON RD STE H, HENDERSON, NV 89014-6763
(702) 558-6275
Mailing address
2305 W HORIZON RIDGE PKWY APT 1921, HENDERSON, NV 89052-5792
(702) 882-2022
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6318
NV
Other
Enumeration date
01/03/2024
Last updated
04/21/2025
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