Individual
MR. RICHARD L BALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2110 E FLAMINGO RD STE 314, LAS VEGAS, NV 89119-5193
(702) 947-5200
(702) 947-5204
Mailing address
2421 GOLDFIRE CIR, HENDERSON, NV 89052-2667
(702) 947-5200
(702) 947-5204
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0252
NV
225100000X
Physical Therapist
252
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003402089
—
NV
Enumeration date
09/03/2006
Last updated
10/24/2021
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