MEDICARE: MS. MILLICENT ARTUZ PT

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
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1063539161
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MILLICENT ARTUZ PT

Provider Business Mailing Address
First Line	:	11908 BARCINAS LN
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89138-4539
Country	:	US
Telephone Number	:	702-403-3164
Fax Number	:	702-646-5647

Provider Business Practice Location Address
First Line	:	11908 BARCINAS LN
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89138-4539
Country	:	US
Telephone Number	:	702-403-3164
Fax Number	:	702-646-5647

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2007
Last Update Date	:	07/08/2007

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