| On Ice Athletics Llc | |
|
1550 S Pavilion Center Dr Las Vegas NV 89135-2964 | |
| (970) 391-6408 | |
| Not Available |
| Full Name | On Ice Athletics Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1550 S Pavilion Center Dr, Las Vegas, Nevada |
| Authorized Official Name and Position | Kendell Sarah Galor (MANAGER) |
| Authorized Official Contact | 9703916408 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| On Ice Athletics Llc 7260 W Azure Dr Ste 140-58 Las Vegas NV 89130-7999 Ph: (970) 391-6408 | On Ice Athletics Llc 1550 S Pavilion Center Dr Las Vegas NV 89135-2964 Ph: (970) 391-6408 |
| NPI Number | 1649037557 |
|---|---|
| Provider Enumeration Date | 03/06/2024 |
| Last Update Date | 03/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649037557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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