Sports LLC

NPI #1104834050 in Las Vegas, Nevada

Provider Information

NPI Number: 1104834050
Entity Type: Organization
Organization Name: Sports LLC
Primary Specialty: Physical Therapist
Enumeration Date: Aug 4, 2006
Last Updated: Aug 19, 2016

Practice Location

Address: 9070 W. CHEYENNE AVE
Address 2: SUITE. #100
City: Las Vegas
State: Nevada
ZIP Code: 89129
Phone: (702) 655-8535

Authorized Official

Name: MR. STEPHANIE HOLMSTROM
Title: OFFICE ADMINISTRATOR
Phone: (702) 655-8535

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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