Individual
SHAUN MATTHEW BEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
6823 PONDEROSA WAY, LAS VEGAS, NV 89118-2100
(702) 665-4054
Mailing address
6541 ZA ZU PITTS AVE UNIT 102, LAS VEGAS, NV 89122-1704
(702) 917-1517
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4943
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4943
PHYSICAL THERAPIST LICENSE NUMBER
NV
Enumeration date
08/07/2022
Last updated
08/07/2022
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