Organization
LAS VEGAS BODYWORKS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY MASAO NAKASONE PT (PHYSICAL THERAPIST)
(505) 454-0443
Entity
Organization
Contact information
Practice address
508 UNIVERSITY AVE, LAS VEGAS, NM 87701-4349
(505) 454-0443
(505) 454-0498
Mailing address
508 UNIVERSITY AVE, LAS VEGAS, NM 87701-4349
(505) 454-0443
(505) 454-0498
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1308
NM
Other
Enumeration date
03/25/2008
Last updated
06/05/2013
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