Healthcare Provider Details

I. General information

NPI: 1093062366
Provider Name (Legal Business Name): KAPI SEXTON-STRAIT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2012
Last Update Date: 08/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4285 N RANCHO DR
LAS VEGAS NV
89130-3446
US

IV. Provider business mailing address

4285 N RANCHO DR
LAS VEGAS NV
89130-3446
US

V. Phone/Fax

Practice location:
  • Phone: 702-385-5331
  • Fax:
Mailing address:
  • Phone: 702-385-5331
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: