Individual
MATTHEW DOMINIC LEVEQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, MPT
Contact information
Practice address
2650 N TENAYA WAY STE 180, LAS VEGAS, NV 89128-1110
(702) 240-2952
(702) 243-0482
Mailing address
2650 N TENAYA WAY STE 180, LAS VEGAS, NV 89128-1110
(702) 860-3885
(717) 635-3779
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1446
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1446
LICENSE #
NV
Enumeration date
10/27/2006
Last updated
02/28/2018
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