Gymphysio LLC

NPI #1073139986 in Las Vegas, Nevada

Provider Information

NPI Number: 1073139986
Entity Type: Organization
Organization Name: Gymphysio LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jun 17, 2020
Last Updated: Jun 17, 2020

Practice Location

Address: 7537 S RAINBOW BLVD STE 109
City: Las Vegas
State: Nevada
ZIP Code: 89139-0504
Phone: (702) 459-2424

Authorized Official

Name: DR. TYEE CHARLTON, DPT
Title: COO
Phone: (314) 537-4958

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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