MEDICARE: HIGH DESERT THERAPISTS, INC

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		NV

General Provider Information

NPI Number	:	1861442501
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HIGH DESERT THERAPISTS, INC

Provider Business Mailing Address
First Line	:	2874 N CARSON ST
Second Line	:	SUITE 100
City	:	CARSON CITY
State	:	NV
Zip	:	89706-0177
Country	:	US
Telephone Number	:	775-883-4161
Fax Number	:

Provider Business Practice Location Address
First Line	:	5 PINE CONE RD
Second Line	:
City	:	DAYTON
State	:	NV
Zip	:	89403-7393
Country	:	US
Telephone Number	:	775-246-7742
Fax Number	:

Authorized Official
Title or Position	:	PT/PRESIDENT
Name	:	LENDELL RICHARD STEPHENSON
Credential	:	RPT
Telephone Number	:	775-883-4161

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	12/26/2013

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Directions to “HIGH DESERT THERAPISTS, INC ” Practice Location

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