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NPI Code Detail

MEDICARE: DIRECT TO YOU PHYSICAL THERAPY, PLLC

MEDICARE: DIRECT TO YOU PHYSICAL THERAPY, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1013526045
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIRECT TO YOU PHYSICAL THERAPY, PLLC
Provider Business Mailing Address
First Line : 10334 HOWLING COYOTE AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89135-1119
Country : US
Telephone Number : 702-308-1277
Fax Number :
Provider Business Practice Location Address
First Line : 10334 HOWLING COYOTE AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89135-1119
Country : US
Telephone Number : 702-308-1277
Fax Number :
Authorized Official
Title or Position : PHYSICAL THERAPIST
Name : MR. DAVID GROH
Credential : PT, MS, SCS, ATC
Telephone Number : 702-308-1277
Provider Enumeration Date : 07/27/2020
Last Update Date : 07/27/2020

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Directions to “DIRECT TO YOU PHYSICAL THERAPY, PLLC ” Practice Location

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