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NPI Code Detail

MEDICARE: AMKC VENTURES LLC

MEDICARE: AMKC VENTURES LLC
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 Therapist

General Provider Information

NPI Number : 1245165661
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMKC VENTURES LLC
Provider Business Mailing Address
First Line : 2540 BEAUMONT PKWY
Second Line :
City : RENO
State : NV
Zip : 89523-2098
Country : US
Telephone Number : 775-737-0080
Fax Number : 775-737-0081
Provider Business Practice Location Address
First Line : 6490 S MCCARRAN BLVD BLDG D1
Second Line : STE 27
City : RENO
State : NV
Zip : 89509-6165
Country : US
Telephone Number : 775-737-0080
Fax Number : 775-737-0081
Authorized Official
Title or Position : OWNER/DPT
Name : SHANE SPENCER COLLINS
Credential : DPT
Telephone Number : 530-412-3494
Provider Enumeration Date : 06/16/2026
Last Update Date : 06/16/2026

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Directions to “AMKC VENTURES LLC ” Practice Location

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