NPI 1003586256
Live to Ignite, LLC
Practice location
- Address
- 1290 Cornet St, Henderson, NV 89052-5530
- Phone
- (623) 556-6043
- Mailing address
- 2505 Anthem Village Dr # E8, Henderson, NV 89052-5505
Authorised official
- Name
- Karri Brower
- Title
- Managing Member/Owner
- Phone
- (623) 556-6043
Registered specialties
Physical Therapist
Primary
Registry record
- NPI
- 1003586256
- Entity type
- Organization
- NPI issued
- 19 Sep 2021
- Record last updated
- 1 Oct 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.