Individual
KEIGO ITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2670 S DECATUR BLVD APT 4104, LAS VEGAS, NV 89102-8576
(702) 527-9205
Mailing address
2670 S DECATUR BLVD APT 4104, LAS VEGAS, NV 89102-8576
(702) 527-9205
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/19/2020
Last updated
07/19/2020
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