Organization
PARAGON OUTPATIENT THERAPY SERVICES LLC
Active
Other names
Paragon Healthcare of Pahrump
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE MCKIERNAN MHA (CHIEF ADMINISTRATOR)
(702) 914-2790
Entity
Organization
Contact information
Practice address
1470 W CALVADA BLVD, SUITE 100, PAHRUMP, NV 89048-5869
(775) 537-2300
(775) 537-2345
Mailing address
1655 W HORIZON RIDGE PKWY, SUITE 100, HENDERSON, NV 89012-3494
(702) 914-2790
(702) 914-5984
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
227900000X
Registered Respiratory Therapist
—
—
Other
Enumeration date
01/05/2007
Last updated
11/09/2011
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