Organization
MESA VIEW PHYSICAL REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS L WAKEFIELD MSPT (OFFICER/DIRECTOR/MSPT)
(702) 346-1899
Entity
Organization
Contact information
Practice address
1301 BERTHA HOWE AVE, SUITE 7, MESQUITE, NV 89027-7502
(702) 346-1899
(702) 346-8581
Mailing address
PO BOX 757, MESQUITE, NV 89024-0757
(702) 346-1899
(702) 346-8581
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100504540
—
NV
Enumeration date
05/18/2006
Last updated
04/25/2008
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