MEDICARE: ANDRES GARCIA

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	172M00000X	Mechanotherapist	NVMT7552	NV

General Provider Information

NPI Number	:	1497131932
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDRES GARCIA

Provider Business Mailing Address
First Line	:	1421 SPLINTER ROCK WAY
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-1601
Country	:	US
Telephone Number	:	503-718-1961
Fax Number	:

Provider Business Practice Location Address
First Line	:	1421 SPLINTER ROCK WAY
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-1601
Country	:	US
Telephone Number	:	503-718-1961
Fax Number	:

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

Provider Enumeration Date	:	08/06/2015
Last Update Date	:	08/06/2015

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Directions to “ ANDRES GARCIA ” Practice Location

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