Organization
EXECUTIVE FITNESS INC
Active
Other names
Timothy B Soder Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY BRIAN SODER MSPT (DIRECTOR)
(702) 222-1000
Entity
Organization
Contact information
Practice address
6440 MEDICAL CENTER ST, SUITE 100, LAS VEGAS, NV 89148-2404
(702) 222-1000
(702) 222-9448
Mailing address
6440 MEDICAL CENTER ST STE 100, LAS VEGAS, NV 89148-2404
(702) 222-1000
(702) 222-9448
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1000002-322
NV
Other
Enumeration date
03/21/2007
Last updated
01/09/2008
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