Individual
BENJAMIN DONELL BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9484 W. LAKE MEAD BLVD, STE. 8-10, LAS VEGAS, NV 89134-8339
(702) 243-7744
(702) 243-9688
Mailing address
PO BOX 711185, SALT LAKE CITY, UT 84171-1185
(801) 942-3311
(801) 942-5955
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2261
NV
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1149363
LICENSE #
TX
Enumeration date
08/25/2006
Last updated
11/12/2008
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