Individual
AMANDA KARI WAKERSHAUSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 N TOWN CENTER DR STE 120, LAS VEGAS, NV 89144-6302
(866) 960-7691
Mailing address
6320 DESERT LEAF ST, #201, NORTH LAS VEGAS, NV 89081-4135
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
08/30/2011
Last updated
08/30/2011
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