| Live To Ignite, Llc | |
|
1290 Cornet St, Henderson, NV 89052-5530 | |
| (623) 556-6043 | |
| Not Available |
| Full Name | Live To Ignite, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1290 Cornet St, Henderson, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003586256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Stacy Needham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356093637 PECOS PAC ID: 4587683313 Enrollment ID: I20051122000112 |
| Provider Name | Karri Brower |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124795513 PECOS PAC ID: 4082001631 Enrollment ID: I20220428002054 |
| Mailing Address | Practice Location Address |
|---|---|
| Live To Ignite, Llc 2505 Anthem Village Dr # E8, Henderson, NV 89052-5505 Ph: (702) 670-1810 | Live To Ignite, Llc 1290 Cornet St, Henderson, NV 89052-5530 Ph: (623) 556-6043 |
Mr. Jon Nicastro, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 400 N Stephanie St Ste 310, Henderson, NV 89014 Phone: 575-636-7434 | |
Mr. Michael D Russell, PT,DPT, CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3005 W Horizon Ridge Pkwy Ste 101, Henderson, NV 89052 Phone: 702-840-2500 Fax: 725-234-1515 | |
Arnel Sulit, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1701 N Green Valley Pkwy, Henderson, NV 89074 Phone: 702-998-3333 Fax: 702-260-4051 | |
Katherine Lee Villarreal, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2930 W Horizon Pkwy, Suite 205, Henderson, NV 89052 Phone: 702-294-7498 | |
Phillipp Yu, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1710 W Horizon Ridge Pkwy Ste 110, Henderson, NV 89012 Phone: 702-489-9217 Fax: 702-489-9134 | |
Annie Saatdjian, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 861 Coronado Center Dr Ste 201, Ste B, Henderson, NV 89052 Phone: 702-897-7331 |