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NPI Code Detail

MEDICARE: MR. RICHARD B TOLBOE M.S., P.T.

MEDICARE: MR. RICHARD B TOLBOE M.S., P.T.
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
1225100000XPhysical Therapist201NV

General Provider Information

NPI Number : 1184688616
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RICHARD B TOLBOE M.S., P.T.
Provider Business Mailing Address
First Line : 129 W LAKE MEAD PKWY
Second Line : SUITE 2
City : HENDERSON
State : NV
Zip : 89015-7055
Country : US
Telephone Number : 702-564-6712
Fax Number : 702-564-4838
Provider Business Practice Location Address
First Line : 129 W LAKE MEAD PKWY
Second Line : SUITE 2
City : HENDERSON
State : NV
Zip : 89015-7055
Country : US
Telephone Number : 702-564-6712
Fax Number : 702-564-4838
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2006
Last Update Date : 10/02/2007

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