MEDICARE: BEST STEPS SHOES

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	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MP00370	OTHER	NV	NV STATE BOARD OF PHARMCY

General Provider Information

NPI Number	:	1124071659
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEST STEPS SHOES

Provider Business Mailing Address
First Line	:	2160 W CHARLESTON BLVD
Second Line	:	SUITE L
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-2243
Country	:	US
Telephone Number	:	702-598-3720
Fax Number	:	702-633-7180

Provider Business Practice Location Address
First Line	:	2160 W CHARLESTON BLVD
Second Line	:	SUITE L
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-2243
Country	:	US
Telephone Number	:	702-598-3720
Fax Number	:	702-633-7180

Authorized Official
Title or Position	:	OWNER
Name	:	SANDRA MANCILLA
Credential	:
Telephone Number	:	702-598-3720

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	08/22/2020

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Directions to “BEST STEPS SHOES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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