Organization
SPIRIT REHABILITATION SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL SIDECO M.P.T. (PRESIDENT)
(702) 326-0528
Entity
Organization
Contact information
Practice address
7451 SALVADORA PL, LAS VEGAS, NV 89113-3287
(702) 326-0528
(702) 562-9338
Mailing address
7451 SALVADORA PL, LAS VEGAS, NV 89113-3287
(702) 326-0528
(702) 562-9338
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 1533
NV
Other
Enumeration date
02/12/2010
Last updated
02/12/2010
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