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NPI Code Detail

MEDICARE: MONARCH THERAPY SERVICES LLC

MEDICARE: MONARCH THERAPY SERVICES 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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1578331757
Entity Type Code : Organization
Provider Name (Legal Business Name) : MONARCH THERAPY SERVICES LLC
Provider Business Mailing Address
First Line : 6720 N HUALAPAI WAY STE 145-293
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-1371
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5764 INDIAN RAIN CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89131-2198
Country : US
Telephone Number : 626-333-9684
Fax Number :
Authorized Official
Title or Position : SPEECH LANGUAGE PATHOLOGIST
Name : NIAMBI WOODY
Credential :
Telephone Number : 626-333-9684
Provider Enumeration Date : 12/18/2023
Last Update Date : 12/18/2023

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Directions to “MONARCH THERAPY SERVICES LLC ” Practice Location

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