Healthcare Provider Details

I. General information

NPI: 1477927259
Provider Name (Legal Business Name): ART OF THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2015
Last Update Date: 11/25/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9484 W LAKE MEAD BLVD STE 8
LAS VEGAS NV
89134-8339
US

IV. Provider business mailing address

9484 W LAKE MEAD BLVD STE 8
LAS VEGAS NV
89134-8339
US

V. Phone/Fax

Practice location:
  • Phone: 702-816-4500
  • Fax: 702-816-4502
Mailing address:
  • Phone: 702-816-4500
  • Fax: 702-816-4502

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 GARCIA
Title or Position: ADMINISTRATOR
Credential:
Phone: 702-816-4500