Individual
TY S WAKEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
1301 BERTHA HOWE AVE, SUITE 7, MESQUITE, NV 89027-7502
(702) 346-1899
(702) 346-8581
Mailing address
330 FALCON RIDGE PKWY, BUILDING 200 STE A, MESQUITE, NV 89027-8877
(702) 346-2460
(702) 346-2466
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2101
NV
Other
Enumeration date
03/08/2007
Last updated
03/07/2012
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