Individual
JAMES T AHLSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
200 S A ST, HAWTHORNE, NV 89415
(775) 945-2461
Mailing address
112 W 5TH ST, BOX 1554, HAWTHORNE, NV 89415-4256
(208) 244-8202
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3842
NV
Other
Enumeration date
09/20/2018
Last updated
10/13/2021
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