MEDICARE: HEALING TOUCH WOUND SPECIALISTS LLC

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	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1316771454
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING TOUCH WOUND SPECIALISTS LLC

Provider Business Mailing Address
First Line	:	6208 DARTLE ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89130-1376
Country	:	US
Telephone Number	:	702-821-5725
Fax Number	:

Provider Business Practice Location Address
First Line	:	6208 DARTLE ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89130-1376
Country	:	US
Telephone Number	:	702-821-5725
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MANAGING PARTNER
Name	:	MR. MICHAEL DENNIS
Credential	:
Telephone Number	:	702-821-5725

Provider Enumeration Date	:	08/30/2024
Last Update Date	:	09/09/2024

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