MEDICARE: SPRITS INC

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	252Y00000X	Early Intervention Provider Agency	SP-942	NV

General Provider Information

NPI Number	:	1184885220
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPRITS INC

Provider Business Mailing Address
First Line	:	9953 MADISON WALK AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-3770
Country	:	US
Telephone Number	:	702-445-3107
Fax Number	:

Provider Business Practice Location Address
First Line	:	9953 MADISON WALK AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-3770
Country	:	US
Telephone Number	:	702-445-3107
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	HEATHER L BUEHLER
Credential	:	M.S., CCC-SLP
Telephone Number	:	702-445-3107

Provider Enumeration Date	:	06/20/2008
Last Update Date	:	06/20/2008

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Directions to “SPRITS INC ” Practice Location

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