MEDICARE: GETITHERE1ST 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	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1679160600
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GETITHERE1ST LLC

Provider Business Mailing Address
First Line	:	5229 QUINN WAY
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89156-5664
Country	:	US
Telephone Number	:	702-972-3146
Fax Number	:

Provider Business Practice Location Address
First Line	:	5229 QUINN WAY
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89156-5664
Country	:	US
Telephone Number	:	702-972-3146
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AISHA ZAKIA BENNETT
Credential	:
Telephone Number	:	702-972-3146

Provider Enumeration Date	:	12/23/2020
Last Update Date	:	01/13/2021

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Directions to “GETITHERE1ST LLC ” Practice Location

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