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NPI Code Detail

MEDICARE: DR. RHONDA KAY STANLEY PHYSICAL THERAPIST

MEDICARE: DR. RHONDA KAY STANLEY PHYSICAL THERAPIST
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
1225100000XPhysical Therapist3374NM

General Provider Information

NPI Number : 1114127180
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RHONDA KAY STANLEY PHYSICAL THERAPIST
Provider Business Mailing Address
First Line : PO BOX 3662
Second Line :
City : LAS VEGAS
State : NM
Zip : 87701-6662
Country : US
Telephone Number : 505-425-9391
Fax Number :
Provider Business Practice Location Address
First Line : 2301 COLLINS DR
Second Line :
City : LAS VEGAS
State : NM
Zip : 87701-4826
Country : US
Telephone Number : 915-373-5010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2007
Last Update Date : 07/18/2007

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Directions to “ DR. RHONDA KAY STANLEY PHYSICAL THERAPIST” Practice Location

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