Individual
BRYSON TANICALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
10040 ALTA DR STE 230, LAS VEGAS, NV 89145-8630
(725) 726-7847
Mailing address
8363 AURORA RIDGE AVE, LAS VEGAS, NV 89147-6238
(808) 366-2710
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/29/2024
Last updated
11/18/2024
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