Provider Demographics
NPI:1255956058
Name:MOLLET PHYSICAL THERAPY PLLC
Entity type:Organization
Organization Name:MOLLET PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:THAIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MOLLET
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:775-525-0733
Mailing Address - Street 1:4850 ABERFELDY RD
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89519-0952
Mailing Address - Country:US
Mailing Address - Phone:775-525-0733
Mailing Address - Fax:775-747-6069
Practice Address - Street 1:4100 CAUGHLIN PKWY
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89519-0608
Practice Address - Country:US
Practice Address - Phone:775-525-0733
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-08
Last Update Date:2020-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty