Organization
GREATHOUSE PHYSICAL THERAPY SPORTS SCIENCE TRAINING, LLC
Active
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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