Organization
DYNAMIC SPINE & SPORT REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE INDRIERI PT (OWNER)
(702) 685-1607
Entity
Organization
Contact information
Practice address
2230 N RAINBOW BLVD, LAS VEGAS, NV 89108-7053
(702) 808-4943
(702) 968-8637
Mailing address
801 S RANCHO DR STE F4, LAS VEGAS, NV 89106-3814
(702) 685-1607
(702) 685-1506
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1815
NV
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100510631
—
NV
Enumeration date
06/14/2009
Last updated
02/25/2026
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