Organization
MIRACULOUS MASSAGE THERAPIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVETTE RENEE CHAPPEL (MEDICAL MASSAGE THERAPIST)
(702) 290-7689
Entity
Organization
Contact information
Practice address
5803 W CRAIG RD STE 101, LAS VEGAS, NV 89130-2537
(702) 290-7689
Mailing address
1924 ASHBURN DR, NORTH LAS VEGAS, NV 89032-0826
(702) 290-7689
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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