Organization · Type 2 NPI

Super Youth of Nevada

Rehabilitation Practitioner · Las Vegas, NV

NPI number 1174895890 Active

Practice location

867 Worrell Ave
Las Vegas, NV 89123-3183

Call (702) 748-1508 Map

Mailing address

867 Worrell Ave.
Las Vegas, NV 89123-3183

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1174895890

Super Youth of Nevada's National Provider Identifier is 1174895890, issued on Jan 27, 2012. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Las Vegas, NV. The record was last updated on Apr 11, 2012.