Provider Demographics
NPI:1265830210
Name:LAS VEGAS MOVEMENT ARTS
Entity Type:Organization
Organization Name:LAS VEGAS MOVEMENT ARTS
Other - Org Name:THE PILATES STUDIO LAS VEGAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:GRACIELA
Authorized Official - Middle Name:LIZARRAGA
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-895-9000
Mailing Address - Street 1:9540 W FLAMINGO RD
Mailing Address - Street 2:#140 #150
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-5752
Mailing Address - Country:US
Mailing Address - Phone:702-895-9000
Mailing Address - Fax:
Practice Address - Street 1:9540 W FLAMINGO RD
Practice Address - Street 2:#140 #150
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147-5752
Practice Address - Country:US
Practice Address - Phone:702-895-9000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-08
Last Update Date:2014-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV20041352186174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty