Individual provider · Type 1 NPI
Willie So, DC
Chiropractor · Las Vegas, NV
NPI number
1760940555
Active
Practice location
1263 E Silverado Ranch Blvd Ste 105A
Las Vegas, NV 89183-5946
Mailing address
10725 Ackers Dr
Henderson, NV 89052-8696
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | B01735 (NV) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1760940555
Willie So, DC's National Provider Identifier is 1760940555, issued on Mar 11, 2019. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Las Vegas, NV. The record was last updated on Aug 11, 2020.