Organization
LIFETIME BODY AND HEALTH AWARENESS PHYSICAL THERAPY PLLC
Active
Organization
LIFETIME BODY AND HEALTH AWARENESS PHYSICAL THERAPY PLLC
Active
Other names
Breakthrough Therapy PLLC, Breakthrough Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
SHENITA HAYNES DPT,CEEAA (CEO/ OWNER)
(702) 831-8076
Entity
Organization
Contact information
Practice address
1489 W WARM SPRINGS RD STE 110, HENDERSON, NV 89014-7367
(725) 286-7997
(888) 414-7996
Mailing address
1489 W WARM SPRINGS RD STE 110, HENDERSON, NV 89014-7367
(725) 286-7997
(888) 414-7996
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/18/2019
Last updated
11/17/2025
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