Individual
BRANDON WINGENBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
806 BUCHANAN BLVD STE 103, BOULDER CITY, NV 89005-2130
(702) 246-2787
Mailing address
540 W HORIZON RIDGE PKWY UNIT 4504, HENDERSON, NV 89012-5217
(626) 241-4372
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/27/2025
Last updated
06/27/2025
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