Organization
PRISM PT LLC
Active
Organization
PRISM PT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT R PENSIVY PT (OWNER)
(702) 338-2533
Entity
Organization
Contact information
Practice address
6823 PONDEROSA WAY, LAS VEGAS, NV 89118-2100
(702) 338-2533
Mailing address
7575 W WASHINGTON AVE STE 127-140, LAS VEGAS, NV 89128-4333
(702) 796-8849
(702) 796-6310
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/29/2020
Last updated
02/29/2020
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