Individual
PAIGE MACKENZIE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
5412 BOULDER HWY, LAS VEGAS, NV 89122-6039
(702) 291-7121
(702) 507-2534
Mailing address
541 ANCIENT MAYAN DR, HENDERSON, NV 89015-5918
(702) 910-5821
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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