Individual
KATHRYN MUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2650 N TENAYA WAY # 180, LAS VEGAS, NV 89128-1102
(702) 952-3653
Mailing address
8851 TANGERINE SKY AVE, LAS VEGAS, NV 89178-7244
(702) 456-7372
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1850
LICENSE#
NV
Enumeration date
11/06/2006
Last updated
07/08/2007
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