Organization
NINTH ISLAND PEDIATRIC THERAPY LLC
Active
Organization
NINTH ISLAND PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB JAMES TATSUMI HAUGHT PT, DPT (MANAGING MEMBER)
(808) 343-8162
Entity
Organization
Contact information
Practice address
125 WESTIN LN, HENDERSON, NV 89002-5115
(808) 343-8162
Mailing address
125 WESTIN LN, HENDERSON, NV 89002-5115
(808) 343-8162
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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