Organization
CLOSE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK CLOSE MA, PT, FAPTA (PRESIDENT)
(702) 731-6873
Entity
Organization
Contact information
Practice address
3777 PECOS MCLEOD, SUITE 102, LAS VEGAS, NV 89121-4264
(702) 731-6873
Mailing address
3777 PECOS MCLEOD, SUITE 102, LAS VEGAS, NV 89121-4264
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2996
NV
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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