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NPI Code Detail

MEDICARE: LINDSEY PROIA PT, DPT

MEDICARE: LINDSEY PROIA PT, 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 Therapist3067NV

General Provider Information

NPI Number : 1942547179
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSEY PROIA PT, DPT
Provider Business Mailing Address
First Line : 2080 E FLAMINGO RD STE 111
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-5175
Country : US
Telephone Number : 702-737-8820
Fax Number : 702-737-1622
Provider Business Practice Location Address
First Line : 2080 E FLAMINGO RD STE 111
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-5175
Country : US
Telephone Number : 702-737-8820
Fax Number : 702-737-1622
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2013
Last Update Date : 11/20/2014

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