Provider Demographics
NPI:1750195327
Name:L&P LYMPHATIC & PELVIC PHYSICAL THERAPY PC
Entity type:Organization
Organization Name:L&P LYMPHATIC & PELVIC PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:RAE
Authorized Official - Last Name:HUTCHINSON
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:702-979-1034
Mailing Address - Street 1:2001 JADE CREEK ST UNIT 202
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-6991
Mailing Address - Country:US
Mailing Address - Phone:714-679-9083
Mailing Address - Fax:702-979-1703
Practice Address - Street 1:7884 W SAHARA AVE STE 110
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-1944
Practice Address - Country:US
Practice Address - Phone:702-766-2624
Practice Address - Fax:702-979-1703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-04
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy