Organization
GREATHOUSE PHYSICAL THERAPY SPORTS SCIENCE TRAINING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES GREATHOUSE PT (OWNER)
(702) 580-4184
Entity
Organization
Contact information
Practice address
1845 VILLAGE CENTER CIR, LAS VEGAS, NV 89134
(702) 580-4184
Mailing address
1845 VILLAGE CENTER CIR, LAS VEGAS, NV 89134
(702) 723-9006
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
NV20161709598
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205167517
—
NV
Enumeration date
08/23/2017
Last updated
01/03/2018
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