Healthcare Provider Details
I. General information
NPI: 1619862364
Provider Name (Legal Business Name): RX MUSCLE WORK LTD
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/12/2025
Last Update Date: 06/23/2025
Certification Date: 06/23/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2481 W HORIZON RIDGE PKWY STE 100
HENDERSON NV
89052-5926
US
IV. Provider business mailing address
2481 W HORIZON RIDGE PKWY STE 100
HENDERSON NV
89052-5926
US
V. Phone/Fax
- Phone: 775-515-7770
- Fax:
- Phone: 775-515-7770
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225700000X |
| Taxonomy | Massage Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KEDRIAN
GERMAINE
ZAHIROVIC
Title or Position: GENERAL MANAGER
Credential: LMT
Phone: 702-530-2215