Organization
ON ICE ATHLETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDELL SARAH GALOR MS, LAT, ATC, CSCS (MANAGER)
(970) 391-6408
Entity
Organization
Contact information
Practice address
1550 S PAVILION CENTER DR, LAS VEGAS, NV 89135-2964
(970) 391-6408
Mailing address
7260 W AZURE DR STE 140-58, LAS VEGAS, NV 89130-7999
(970) 391-6408
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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