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NPI Code Detail

MEDICARE: SCOTT HURD MPT

MEDICARE: SCOTT HURD MPT
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
1261QP2000XPhysical Therapy Clinic/Center1458NV
2225100000XPhysical Therapist1458NV

General Provider Information

NPI Number : 1891053633
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT HURD MPT
Provider Business Mailing Address
First Line : 7375 PRAIRIE FALCON RD STE 120
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-0810
Country : US
Telephone Number : 702-869-4401
Fax Number : 702-869-9904
Provider Business Practice Location Address
First Line : 7375 PRAIRIE FALCON RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-0809
Country : US
Telephone Number : 702-869-4401
Fax Number : 702-869-9904
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2012
Last Update Date : 10/21/2019

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Directions to “ SCOTT HURD MPT” Practice Location

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