MEDICARE: CASSANDRA LARENTE DPT

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	6896	NV

General Provider Information

NPI Number	:	1174483044
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CASSANDRA LARENTE DPT

Provider Business Mailing Address
First Line	:	6048 S DURANGO DR STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-1781
Country	:	US
Telephone Number	:	702-260-6238
Fax Number	:	702-260-6530

Provider Business Practice Location Address
First Line	:	6048 S DURANGO DR STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-1781
Country	:	US
Telephone Number	:	702-260-6238
Fax Number	:	702-263-6530

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

Provider Enumeration Date	:	11/13/2025
Last Update Date	:	12/03/2025

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Directions to “ CASSANDRA LARENTE DPT” Practice Location

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