Healthcare Provider Details

I. General information

NPI: 1154077394
Provider Name (Legal Business Name): 8 SENSES OCCUPATIONAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2022
Last Update Date: 03/19/2022
Certification Date: 03/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 EAST HORIZON RIDGE PARKWAY, SUITE 110 #557
HENDERSON NV
89002-7906
US

IV. Provider business mailing address

35 EAST HORIZON RIDGE PARKWAY, SUITE 110 #557
HENDERSON NV
89002-7906
US

V. Phone/Fax

Practice location:
  • Phone: 702-518-3249
  • Fax:
Mailing address:
  • Phone: 702-518-3249
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY ANN SPAIN
Title or Position: OWNER
Credential: OT
Phone: 702-518-3249