Provider Demographics
NPI:1881018943
Name:R & P ENTERPRISES
Entity Type:Organization
Organization Name:R & P ENTERPRISES
Other - Org Name:COUGHLIN THERAPEUTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:GAYLA
Authorized Official - Middle Name:DEANNE
Authorized Official - Last Name:COUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:702-683-1872
Mailing Address - Street 1:7240 W AZURE DR STE 115
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89130-4408
Mailing Address - Country:US
Mailing Address - Phone:702-979-9050
Mailing Address - Fax:
Practice Address - Street 1:7240 W AZURE DR STE 115
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89130-4408
Practice Address - Country:US
Practice Address - Phone:702-979-9050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-10
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVM1195059E157289172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172M00000XOther Service ProvidersMechanotherapistGroup - Single Specialty