Individual
APICHAI HAISUPA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
2851 N TENAYA WAY, SUITE 205, LAS VEGAS, NV 89128-0453
(702) 655-9456
(702) 655-9594
Mailing address
4104 RUBICON PEAK CT, LAS VEGAS, NV 89129-3673
(702) 656-2117
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1309
NV
Other
Enumeration date
05/19/2006
Last updated
07/08/2007
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