Ninth Island Pediatric Therapy LLC

NPI #1306584875 in Henderson, Nevada

Provider Information

NPI Number
1306584875
Entity Type
Organization
Organization Name
Ninth Island Pediatric Therapy LLC
Primary Specialty
Physical Therapist
Enumeration Date
May 25, 2022
Last Updated
May 25, 2022

Practice Location

Address
125 WESTIN LN
State
Nevada
ZIP Code
89002-5115
Phone
(808) 343-8162

Authorized Official

Name
DR. JACOB JAMES TATSUMI HAUGHT, PT, DPT
Title
MANAGING MEMBER
Phone
(808) 343-8162

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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