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NPI Code Detail

MEDICARE: HEATHER MONAGHAN DPT

MEDICARE: HEATHER MONAGHAN 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
1225100000XPhysical TherapistNV
2225100000XPhysical Therapist

General Provider Information

NPI Number : 1518458827
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER MONAGHAN DPT
Provider Business Mailing Address
First Line : 2001 BUTTERFIELD RD STE 1600
Second Line :
City : DOWNERS GROVE
State : IL
Zip : 60515-1211
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7060 N DURANGO DR STE 130
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-4605
Country : US
Telephone Number : 702-826-5749
Fax Number : 702-273-3015
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2018
Last Update Date : 12/13/2024

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Directions to “ HEATHER MONAGHAN DPT” Practice Location

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