MEDICARE: EMPOWERING 2 EXCEL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1114236205
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMPOWERING 2 EXCEL

Provider Business Mailing Address
First Line	:	7116 MANZANARES DR
Second Line	:
City	:	N LAS VEGAS
State	:	NV
Zip	:	89084-2345
Country	:	US
Telephone Number	:	702-290-9398
Fax Number	:	702-664-6230

Provider Business Practice Location Address
First Line	:	7116 MANZANARES DR
Second Line	:
City	:	N LAS VEGAS
State	:	NV
Zip	:	89084-2345
Country	:	US
Telephone Number	:	702-290-9398
Fax Number	:	702-664-6230

Authorized Official
Title or Position	:	OWNER
Name	:	LORENZO REED
Credential	:
Telephone Number	:	702-290-9398

Provider Enumeration Date	:	10/06/2010
Last Update Date	:	04/05/2024

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