| Las Vegas Bodyworks Llc | |
|
508 University Ave, Las Vegas, NM 87701-4349 | |
| (505) 454-0443 | |
| (505) 454-0498 |
| Full Name | Las Vegas Bodyworks Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 508 University Ave, Las Vegas, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255503736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1308 (New Mexico) | Primary |
| Provider Name | Randy M Nakasone |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366512691 PECOS PAC ID: 0042307399 Enrollment ID: I20071102000617 |
| Provider Name | Brandy A Benton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720496474 PECOS PAC ID: 5092031021 Enrollment ID: I20150310000179 |
| Mailing Address | Practice Location Address |
|---|---|
| Las Vegas Bodyworks Llc 508 University Ave, Las Vegas, NM 87701-4349 Ph: (505) 454-0443 | Las Vegas Bodyworks Llc 508 University Ave, Las Vegas, NM 87701-4349 Ph: (505) 454-0443 |
Mrs. Roberta Albina Lucero, MPT ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 624 University Ave, Ste 100, Las Vegas, NM 87701 Phone: 505-454-1078 Fax: 505-454-1164 | |
Amanda Herrera, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 220 Plaza St, Las Vegas, NM 87701 Phone: 505-429-0296 Fax: 505-454-9565 | |
Dr. Rhonda Kay Stanley, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2301 Collins Dr, Las Vegas, NM 87701 Phone: 915-373-5010 | |
Physical Therapy Center, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1607 7th St Ste C, Las Vegas, NM 87701 Phone: 505-454-1213 | |
Ms. Elizabeth Ackermann, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 179 Bridge St, Las Vegas, NM 87701 Phone: 505-426-2300 | |
Mark A Herrera, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 700 Friedman Ave, Las Vegas, NM 87701 Phone: 505-454-5100 |