Healthcare Provider Details

I. General information

NPI: 1255275806
Provider Name (Legal Business Name): VEGAS ACUPUNCTURE THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2520 SAINT ROSE PKWY STE 114
HENDERSON NV
89074-7785
US

IV. Provider business mailing address

2520 SAINT ROSE PKWY STE 114
HENDERSON NV
89074-7785
US

V. Phone/Fax

Practice location:
  • Phone: 702-460-3550
  • Fax:
Mailing address:
  • Phone: 702-460-3550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: FAITH NOBORIKAWA
Title or Position: OWNER/PRACTITIONER
Credential: OMD
Phone: 702-460-3550