Provider Demographics
NPI:1841826864
Name:SANTEK, ABIGAIL (ATC, LAT, MS)
Entity type:Individual
Prefix:MRS
First Name:ABIGAIL
Middle Name:
Last Name:SANTEK
Suffix:
Gender:F
Credentials:ATC, LAT, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6775 EDMOND ST STE 300
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89118-3502
Mailing Address - Country:US
Mailing Address - Phone:269-303-1334
Mailing Address - Fax:
Practice Address - Street 1:6775 EDMOND ST STE 300
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89118-3502
Practice Address - Country:US
Practice Address - Phone:269-303-1334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-21
Last Update Date:2020-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV05065612255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer