Healthcare Provider Details

I. General information

NPI: 1578929964
Provider Name (Legal Business Name): ART OF THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2016
Last Update Date: 04/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 N GREEN VALLEY PKWY BLDG 9 STE B
HENDERSON NV
89074-5885
US

IV. Provider business mailing address

1701 N GREEN VALLEY PKWY BLDG 9 STE B
HENDERSON NV
89074-5885
US

V. Phone/Fax

Practice location:
  • Phone: 702-816-4500
  • Fax:
Mailing address:
  • Phone: 702-816-4500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0401X
TaxonomyComprehensive Outpatient Rehabilitation Facility (CORF)
License Number
License Number State

VIII. Authorized Official

Name: MRS. GRACE G GARCIA
Title or Position: PRESIDENT
Credential:
Phone: 702-816-4500