NPI Code Details Logo

NPI 1861363194

NPI 1861363194 : THERAPYWORKS LLC : LAS VEGAS, NV

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1861363194
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    THERAPYWORKS LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/17/2025
-----------------------------------------------------
    Last Update Date     |    09/22/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    9079 W POST RD STE 100 
-----------------------------------------------------
    City                 |    LAS VEGAS
-----------------------------------------------------
    State                |    NV
-----------------------------------------------------
    Zip                  |    89148-2414
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    833-759-8720
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 777447 
-----------------------------------------------------
    City                 |    HENDERSON
-----------------------------------------------------
    State                |    NV
-----------------------------------------------------
    Zip                  |    89077-7447
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    833-759-8720
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |     KANDYCE  MORRIS 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    702-728-0528
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    235Z00000X
-----------------------------------------------------
    Taxonomy Name        |    Speech-Language Pathologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    133VN1004X
-----------------------------------------------------
    Taxonomy Name        |    Pediatric Nutrition Registered Dietitian
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    224Z00000X
-----------------------------------------------------
    Taxonomy Name        |    Occupational Therapy Assistant
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    225X00000X
-----------------------------------------------------
    Taxonomy Name        |    Occupational Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.