MEDICARE: LANCE HIROSHI BERSTLER

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	225700000X	Massage Therapist	G73-05371	NV

General Provider Information

NPI Number	:	1962367557
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LANCE HIROSHI BERSTLER

Provider Business Mailing Address
First Line	:	3784 RUSKIN ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-1044
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8751 W CHARLESTON BLVD STE 130
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-5481
Country	:	US
Telephone Number	:	702-561-0723
Fax Number	:

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

Provider Enumeration Date	:	12/17/2025
Last Update Date	:	12/17/2025

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Directions to “ LANCE HIROSHI BERSTLER ” Practice Location

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