Healthcare Provider Details

I. General information

NPI: 1891820734
Provider Name (Legal Business Name): SPRING MINES MASSAGE THERAPIST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4521 TABIC DR
LAS VEGAS NV
89108-2144
US

IV. Provider business mailing address

4521 TABIC DR
LAS VEGAS NV
89108-2144
US

V. Phone/Fax

Practice location:
  • Phone: 702-300-1198
  • Fax:
Mailing address:
  • Phone: 702-300-1198
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number1000306-519
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: