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Individual

MR. ADAM LEE MAST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, MPT, OCS

Contact information

Practice address
10630 DEAN MARTIN DR STE 120, LAS VEGAS, NV 89141-3595
(725) 254-1330
(725) 254-1331
Mailing address
10630 DEAN MARTIN DR STE 120, LAS VEGAS, NV 89141-3595
(725) 254-1330
(725) 254-1331

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
3902
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200671190
IN
05
250003652
NV
Enumeration date
05/12/2006
Last updated
01/17/2022
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