Individual
SHANE POLATIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
4794 S EASTERN AVE STE A, LAS VEGAS, NV 89119-6145
(702) 818-1770
Mailing address
9550 S EASTERN AVE STE 253, LAS VEGAS, NV 89123-8042
(702) 818-1770
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2983
NV
2251S0007X
Sports Physical Therapist
2983
NV
2251X0800X
Orthopedic Physical Therapist
2983
NV
Other
Enumeration date
07/01/2014
Last updated
09/21/2024
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