| Integrated Health And Wellness Center Llc | |
|
4215 S Grand Canyon Dr, Suite 101, Las Vegas, NV 89147-7172 | |
| (702) 448-6042 | |
| (702) 430-8970 |
| Full Name | Integrated Health And Wellness Center Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 4215 S Grand Canyon Dr, Las Vegas, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790222362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Derek Ronnebaum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245670975 PECOS PAC ID: 1658513833 Enrollment ID: I20130819000340 |
| Provider Name | Tessa Campbell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124442710 PECOS PAC ID: 6305165788 Enrollment ID: I20150506001913 |
| Provider Name | William Allen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699913384 PECOS PAC ID: 5597822593 Enrollment ID: I20170315000795 |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Health And Wellness Center Llc 4215 S Grand Canyon Dr, Suite 101, Las Vegas, NV 89147-7172 Ph: (702) 448-6042 | Integrated Health And Wellness Center Llc 4215 S Grand Canyon Dr, Suite 101, Las Vegas, NV 89147-7172 Ph: (702) 448-6042 |
Athleticare, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 8333 S Eastern Ave, Las Vegas, NV 89123 Phone: 702-263-3802 Fax: 702-270-7740 | |
Ceferino Villafuerte, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2029 Winter Wind St, Las Vegas, NV 89134 Phone: 702-869-6714 | |
Kelsey Zane Daniels, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6345 S Jones Blvd Ste 300, Las Vegas, NV 89118 Phone: 702-515-4009 | |
Mr. Gladstone George, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2832 S Maryland Pkwy, Las Vegas, NV 89109 Phone: 702-735-5848 Fax: 702-735-6218 | |
New Century Rehabilitation, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6830 W Oquendo Rd, Suite 101, Las Vegas, NV 89118 Phone: 702-258-3066 | |
Mr. Chanha Hwang, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9408 Del Webb Blvd, Las Vegas, NV 89134 Phone: 702-268-5090 | |
Christelle Fernandez, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4765 S Durango Dr Ste 106, Las Vegas, NV 89147 Phone: 702-898-7633 |