MEDICARE: VAGUS NV PELVIC THERAPY AND WELLNESS 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
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1447057468
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VAGUS NV PELVIC THERAPY AND WELLNESS LLC

Provider Business Mailing Address
First Line	:	8957 EUDORA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-5389
Country	:	US
Telephone Number	:	505-379-3437
Fax Number	:

Provider Business Practice Location Address
First Line	:	8957 EUDORA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-5389
Country	:	US
Telephone Number	:	505-379-3437
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PHYSICAL THERAPIST
Name	:	XELA X OYER-JAVON
Credential	:	DPT
Telephone Number	:	505-379-3437

Provider Enumeration Date	:	02/27/2025
Last Update Date	:	02/27/2025

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