Individual provider · Type 1 NPI

Crystal Moon

Prosthetist · Las Vegas, NV

NPI number 1629535810 Active

Practice location

354 S Decatur Blvd
Las Vegas, NV 89107-2804

Call (702) 822-1177 Map

Other practice locations

  • 354 S Decatur Blvd, Las Vegas, NV 89107-2804 · (702) 822-1177

Specialties and licenses

TaxonomyCodeLicense
Prosthetist Primary 224P00000XNone listed

Prosthetist: A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

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About NPI 1629535810

Crystal Moon's National Provider Identifier is 1629535810, issued on Feb 25, 2019. The primary taxonomy on file is Prosthetist (224P00000X), and the practice location is in Las Vegas, NV. The record was last updated on Feb 25, 2019.