MEDICARE: AIKENHEAD PHYSICAL THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	225X00000X	Occupational Therapist
2	261QP2000X	Physical Therapy Clinic/Center
3	225100000X	Physical Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922424340
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AIKENHEAD PHYSICAL THERAPY LLC

Provider Business Mailing Address
First Line	:	PO BOX 2434
Second Line	:
City	:	ELKO
State	:	NV
Zip	:	89803-2434
Country	:	US
Telephone Number	:	775-738-4666
Fax Number	:	775-738-4776

Provider Business Practice Location Address
First Line	:	978 MOUNTAIN CITY HWY
Second Line	:
City	:	ELKO
State	:	NV
Zip	:	89801-2881
Country	:	US
Telephone Number	:	775-738-4666
Fax Number	:	775-738-4776

Authorized Official
Title or Position	:	OWNER
Name	:	KENDRA AIKENHEAD
Credential	:	PT, DPT
Telephone Number	:	775-738-4666

Provider Enumeration Date	:	03/10/2014
Last Update Date	:	06/11/2021

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Directions to “AIKENHEAD PHYSICAL THERAPY LLC ” Practice Location

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