Individual
THERESA PENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9275 W RUSSELL RD STE 205, LAS VEGAS, NV 89148-1476
(702) 259-4966
Mailing address
6354 SHARP ROCK CT, LAS VEGAS, NV 89139-7226
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
01/29/2026
Last updated
01/29/2026
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