Prism Pt LLC

NPI #1992339824 in Las Vegas, Nevada

Provider Information

NPI Number: 1992339824
Entity Type: Organization
Organization Name: Prism Pt LLC
Primary Specialty: Physical Therapist
Enumeration Date: Feb 29, 2020
Last Updated: Feb 29, 2020

Practice Location

Address: 6823 PONDEROSA WAY
City: Las Vegas
State: Nevada
ZIP Code: 89118-2100
Phone: (702) 338-2533

Authorized Official

Name: SCOTT R PENSIVY, PT
Title: OWNER
Phone: (702) 338-2533

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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