Individual
MR. BERNE M LEAVITT SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3831 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1859
(702) 876-1733
(702) 878-2018
Mailing address
3831 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1859
(702) 876-1733
(702) 878-2018
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
444
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100503692
—
NV
Enumeration date
08/18/2005
Last updated
11/19/2007
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