Individual
MS. EMILY K GANTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
11845 PRINCIPI CT, LAS VEGAS, NV 89183-5545
(805) 345-5052
Mailing address
4980 W SAHARA AVE STE 260, LAS VEGAS, NV 89146-3435
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0506703
NV
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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