Healthcare Provider Details

I. General information

NPI: 1932660735
Provider Name (Legal Business Name): NEUROMUSCULAR HEALTH INNOVATIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2019
Last Update Date: 04/10/2020
Certification Date: 04/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3753 HOWARD HUGHES PKWY STE 200
LAS VEGAS NV
89169-0952
US

IV. Provider business mailing address

8645 W SAHARA AVE
LAS VEGAS NV
89117-5860
US

V. Phone/Fax

Practice location:
  • Phone: 702-900-2872
  • Fax:
Mailing address:
  • Phone: 702-900-2872
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Y00000X
TaxonomyClinical Exercise Physiologist
License Number
License Number State

VIII. Authorized Official

Name: KUMAR DAVE
Title or Position: OWNER
Credential:
Phone: 702-900-2872