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NPI Code Detail

MEDICARE: KEDRIAN G ZAHIROVIC LMT

MEDICARE: KEDRIAN G ZAHIROVIC LMT
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
1225700000XMassage TherapistNVMT.10105NV

General Provider Information

NPI Number : 1639909021
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEDRIAN G ZAHIROVIC LMT
Provider Business Mailing Address
First Line : 2481 W HORIZON RIDGE PKWY STE 100
Second Line :
City : HENDERSON
State : NV
Zip : 89052-5926
Country : US
Telephone Number : 775-515-7770
Fax Number :
Provider Business Practice Location Address
First Line : 2481 W HORIZON RIDGE PKWY STE 100
Second Line :
City : HENDERSON
State : NV
Zip : 89052-5926
Country : US
Telephone Number : 775-515-7770
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2024
Last Update Date : 06/12/2025

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Directions to “ KEDRIAN G ZAHIROVIC LMT” Practice Location

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