Individual
NIC SPARROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5785 CENTENNIAL CENTER BLVD STE 220, LAS VEGAS, NV 89149-7111
(702) 916-2777
(702) 916-2778
Mailing address
1601 S RAINBOW BLVD STE 160, LAS VEGAS, NV 89146-0029
(702) 916-2777
(702) 916-2778
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1257
LICENSE #
NV
Enumeration date
08/27/2006
Last updated
02/09/2024
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