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Organization

SUMMIT THERAPY SERVICES LLC

Active
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Organization

SUMMIT THERAPY SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. VINCENT K WINDOUS MPT (CO-OWNER)
(775) 289-3467
Entity
Organization

Contact information

Practice address
1500 AVENUE H, ELY, NV 89301-2615
(775) 289-3467
Mailing address
PO BOX 151674, ELY, NV 89315-1208
(775) 289-3467

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
261QP2000X
Physical Therapy Clinic/Center
Primary
LLC2435-2002
NV
261QR0400X
Rehabilitation Clinic/Center
LLC2435-2002
NV

Other

Enumeration date
05/02/2007
Last updated
10/17/2008
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