Organization
LAS VEGAS PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY MASEO NAKASONE P.T. (PARTNER)
(505) 425-7762
Entity
Organization
Contact information
Practice address
508 UNIVERSITY AVE, LAS VEGAS, NM 87701-4349
(505) 425-7762
(505) 454-9880
Mailing address
508 UNIVERSITY AVE, LAS VEGAS, NM 87701-4349
(505) 425-7762
(505) 454-9880
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/31/2007
Last updated
08/22/2020
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