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NPI Code Detail

MEDICARE: MIN YI DPT

MEDICARE:   MIN  YI  DPT
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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1770265753
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIN YI DPT
Provider Business Mailing Address
First Line : 2690 W DEER SPRINGS WAY STE 104
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89084-5822
Country : US
Telephone Number : 702-448-5155
Fax Number :
Provider Business Practice Location Address
First Line : 2690 W DEER SPRINGS WAY STE 104
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89084-5822
Country : US
Telephone Number : 702-448-5155
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2023
Last Update Date : 08/01/2023

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Directions to “ MIN YI DPT” Practice Location

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